DR. FAREESA G KHAN M.D.
NPI 1790702322
Urology - Urogynecology and Reconstructive Pelvic Surgery in Chicago, IL

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
1725 W HARRISON ST STE 1129, CHICAGO, IL 60612(312) 942-6613 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 28, 2022, Apr 6, 2021, Jul 9, 2020 and 2 more (5 updates tracked since 2015).

About Dr. Fareesa G Khan M.d. NPPES

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

DR. FAREESA G KHAN M.D. (NPI 1790702322) is an individual urogynecology and reconstructive pelvic surgery provider in Chicago, Illinois, licensed in Illinois (036-104448) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Copley Memorial Hospital, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1997).

NPPES Registry Identity

NPI1790702322
Entity TypeIndividualFemale
Primary Taxonomy2088F0040X
Provider Legal NameDR. FAREESA G KHANCredential: M.D.
Location Address1725 W HARRISON ST STE 1129Chicago, IL 60612-3841
Mailing Address1653 W Congress Pkwy # 230aChicago, IL 60612-3833 · (312) 942-6613
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1997
Enumeration DateJuly 17, 2006
Last NPPES UpdateFebruary 28, 20225 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2022
NPI 1790702322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyUrology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2088F0040X
License Licensed in IL · 036-104448
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 112917 (MO)
Also ListedObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 207VF0040X · License 036104448 (IL)
1725 W HARRISON ST STE 1129, Chicago, IL 60612

Other Identifiers 1

Medicaid203820014MO

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Fareesa G Khan M.d. 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.

PECOS PAC ID3678522034
PECOS Enrollment IDI20140813002825
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services93 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
106 services89 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
90 services90 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
74 services54 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services60 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Copley Memorial Hospital

Acute Care Hospitals · Aurora, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140029
Location2000 Ogden AvenueAurora, IL 60504 · Kane County
Emergency services Birthing friendly

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140063
Location520 S Maple AveOak Park, IL 60304 · Cook County
Emergency services

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

Genetic Counselor, MS
1725 W HARRISON ST STE 1129
CHICAGO, IL 60612

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 Fareesa Khan's NPI number?

The NPI number for Fareesa Khan is 1790702322. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Fareesa Khan located?

Fareesa Khan practices at 1725 W Harrison St Ste 1129, Chicago, IL 60612. The listed phone number is (312) 942-6613.

What is Fareesa Khan's specialty?

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

Is Fareesa Khan enrolled in Medicare?

Yes. Fareesa Khan 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.

What insurance does Fareesa Khan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Fareesa Khan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Fareesa Khan affiliated with any hospitals?

According to CMS data, Fareesa Khan is affiliated with Copley Memorial Hospital, Rush Oak Park Hospital and Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Fareesa Khan was last updated on February 28, 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.