SAMRA KHALID DO - NPI 1467795476 - Obstetrics & Gynecology in Wilmette, IL

Q: What is Samra Khalid's NPI number?

The NPI number for Samra Khalid is 1467795476. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Q: What is Samra Khalid's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Samra Khalid was last updated on June 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Samra Khalid Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMRA KHALID DO (NPI 1467795476) is an individual obstetrics & gynecology provider in Wilmette, Illinois, licensed in New Jersey (25MB09964800) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1467795476

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameSAMRA KHALIDCredential: DO

Location Address328 LINDEN AVEWilmette, IL 60091-2895

Mailing Address328 Linden AveWilmette, IL 60091-2895 · (847) 475-1224 · Fax (847) 475-0150

Phone(847) 475-1224

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2013

Enumeration DateMarch 28, 2013

Last NPPES UpdateJune 11, 20242 updates tracked since enumeration

NPPES CertifiedJune 11, 2024

✔ NPI 1467795476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NJ · 25MB09964800

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

328 LINDEN AVE, Wilmette, IL 60091

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1128 E Apple St Ste 3800, Wright State University Dept of OB/GYNDayton, OH 45409-2902 · Phone (937) 208-2287 · Fax (937) 641-2656

Location 2900 Lanidex Plz Ste 220Parsippany, NJ 07054-2707 · Phone (973) 831-2777

Location 32550 Compass Rd Ste JGlenview, IL 60026-1610 · Phone (847) 998-9600

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samra Khalid Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315175890

PECOS Enrollment IDI20230530002608

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60091 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL KUDER M.D.

Obstetrics & Gynecology