MILLENNIUM PARK MEDICAL ASSOCIATES, S.C.
NPI 1700073780
Clinic/Center in Chicago, IL

Active since October 03, 2007
30 S MICHIGAN AVE STE 500, CHICAGO, IL 60603(312) 977-1185(312) 977-1188 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 18, 2023, Aug 23, 2019 (2 updates tracked since 2019).

About Millennium Park Medical Associates, S.c. NPPES

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

MILLENNIUM PARK MEDICAL ASSOCIATES, S.C. (NPI 1700073780) is a healthcare organization registered as a clinic/center in Chicago, Illinois and active in the NPI registry since October 2007. The organization lists Farah N Khan, Owner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700073780
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMILLENNIUM PARK MEDICAL ASSOCIATES, S.C.
Location Address30 S MICHIGAN AVE STE 500Chicago, IL 60603-3205
Mailing Address30 S Michigan Ave, Suite #500Chicago, IL 60603-3211 · (312) 977-1185 · Fax (312) 977-1188
Fax(312) 977-1188
Organization SubpartNo
Authorized OfficialFarah N KhanOwner, Ceo · (312) 977-1185
Enumeration DateOctober 3, 2007
Last NPPES UpdateOctober 18, 20232 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
✔ NPI 1700073780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in IL · 036103943
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
30 S MICHIGAN AVE STE 500, Chicago, IL 60603

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Millennium Park Medical Associates, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Millennium Park Medical Associates, S.C., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1205373461
28600 BELLA VISTA PKWY # 2010A
Warrenville, IL 60555
(312) 421-1016
✔ PECOS28 mi
Internal Medicine
NPI 1861434896
7400 E ORCHARD RD STE 1000N
Greenwood Village, CO 80111
(720) 928-5446
✔ PECOS✔ Accepts Medicare919 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Millennium Park Medical Associates, S.C.'s NPI number?

The NPI number for Millennium Park Medical Associates, S.C. is 1700073780. It was assigned to this organization in the NPPES registry on October 3, 2007.

Where is Millennium Park Medical Associates, S.C. located?

Millennium Park Medical Associates, S.C. is located at 30 S Michigan Ave Ste 500, Chicago, IL 60603. The listed phone number is (312) 977-1185.

What is Millennium Park Medical Associates, S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Millennium Park Medical Associates, S.C. enrolled in Medicare?

Yes. Millennium Park Medical Associates, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Millennium Park Medical Associates, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Millennium Park Medical Associates, S.C., in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Millennium Park Medical Associates, S.C. was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.