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SHIKEBA MEHMOOD KHAN MD
NPI 1780313809
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since June 06, 2022PECOS Enrolled
5425 W LAKE ST, CHICAGO, IL 60644(773) 378-3347(773) 378-4028 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shikeba Mehmood Khan Md NPPES

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

SHIKEBA MEHMOOD KHAN MD (NPI 1780313809) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780313809
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHIKEBA MEHMOOD KHANCredential: MD
Location Address5425 W LAKE STChicago, IL 60644-2342
Mailing Address5425 W Lake StChicago, IL 60644-2342 · (773) 378-3347 · Fax (773) 378-4028
Phone(773) 378-3347
Fax(773) 378-4028
Sole ProprietorYes
Enumeration DateJune 6, 2022
NPPES CertifiedJune 6, 2022
✔ NPI 1780313809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5425 W LAKE ST, Chicago, IL 60644
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shikeba Mehmood Khan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. GABRIELLE DENISE GAY MD
Family Medicine
5425 W LAKE ST
CHICAGO, IL 60644
Cook County (773) 378-3347
MICHELLE BEHRENS
Social Worker (Clinical)
5425 W LAKE ST
CHICAGO, IL 60644
Cook County (773) 378-3347
ALVIE BENDER LCSW
Social Worker (Clinical)
5425 W LAKE ST
CHICAGO, IL 60644
Cook County (773) 378-3347
PETER M CHAPMAN LCSW
Social Worker (Clinical)
5425 W LAKE ST
CHICAGO, IL 60644
Cook County (773) 378-3347
DR. SWETA SHAH DDS
Dentist (General Practice)
5425 W LAKE ST
CHICAGO, IL 60644
Cook County (773) 378-3347
CHRISTINE SWARTZ MD
Family Medicine
5425 W LAKE ST
CHICAGO, IL 60644
Cook County (773) 378-3347
PCC COMMUNITY WELLNESS CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
5425 W LAKE ST
CHICAGO, IL 60644
Cook County (773) 413-1920
EMILY A LOVAASEN MD
Family Medicine
5425 W LAKE ST
CHICAGO, IL 60644
Cook County (773) 378-3347

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 Shikeba Khan's NPI number?

The NPI number for Shikeba Khan is 1780313809. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Where is Shikeba Khan located?

Shikeba Khan practices at 5425 W Lake St, Chicago, IL 60644. The listed phone number is (773) 378-3347.

What is Shikeba Khan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shikeba Khan enrolled in Medicare?

Yes. Shikeba Khan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shikeba Khan was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.