KHLWD ABDELHAFEZ HASSAN KHTAB
NPI 1467186908
Internal Medicine in Chicago, IL
About Khlwd Abdelhafez Hassan Khtab NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHLWD ABDELHAFEZ HASSAN KHTAB (NPI 1467186908) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036176061) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Hospital - Chicago, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Khlwd Abdelhafez Hassan Khtab is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Khlwd Khtab reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60657
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Presence Healthcare Services
- 129 clinicians in this Medicare group
Chicago, IL 60631
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Chicago Physician Services PC
- 79 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Presence Saint Joseph Hospital - Chicago
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60657 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60657
CHICAGO, IL 60657
CHICAGO, IL 60657
CHICAGO, IL 60657
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Khlwd Khtab's NPI number?
The NPI number for Khlwd Khtab is 1467186908. It was assigned to this individual provider in the NPPES registry on July 11, 2022.
Where is Khlwd Khtab located?
Khlwd Khtab practices at 2900 N Lake Shore Dr, Chicago, IL 60657. The listed phone number is (773) 665-3017.
What is Khlwd Khtab's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Khlwd Khtab enrolled in Medicare?
Yes. Khlwd Khtab is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Khlwd Khtab's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khlwd Khtab reassigns Medicare benefits to 2 organizations: Resurrection Services (Chicago, IL) and Chicago Physician Services, P.C. (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khlwd Khtab's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Khlwd Khtab affiliated with any hospitals?
According to CMS data, Khlwd Khtab is affiliated with Presence Saint Joseph Hospital - Chicago.
When was this NPI record last updated?
The NPPES record for Khlwd Khtab was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Khlwd Abdelhafez Hassan Khtab · NPI 1467186908
Internal Medicine physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 11, 2022.
## Identity
- **NPI:** 1467186908 (Entity type: Individual)
- **Enumerated:** July 11, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 036176061 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2900 N LAKE SHORE DR, Chicago, IL 60657-5640
- **Phone:** (773) 665-3017
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Resurrection Services (NPI 1669730248, Chicago, IL); Chicago Physician Services, P.C. (NPI 1538921424, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1467186908) · Data from the CMS NPPES public registry.