DR. MIRZA SAMIUDDIN KHAN M.D.
NPI 1922488808
Internal Medicine - Cardiovascular Disease in Glenview, IL

Active since June 04, 2015PECOS EnrolledAccepts Medicare Assignment
2150 PFINGSTEN RD STE 1200, GLENVIEW, IL 60026(847) 657-1819 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2026, Jul 25, 2022, Oct 15, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Mirza Samiuddin Khan M.d. NPPES

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

DR. MIRZA SAMIUDDIN KHAN M.D. (NPI 1922488808) is an individual cardiovascular disease provider in Glenview, Illinois, licensed in Illinois (036177817) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1922488808
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MIRZA SAMIUDDIN KHANCredential: M.D.
Location Address2150 PFINGSTEN RD STE 1200Glenview, IL 60026-1326
Mailing Address4901 Searle Pkwy Ste 150Skokie, IL 60077-5320 · (847) 570-2040 · Fax (847) 982-3394
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 4, 2015
Last NPPES UpdateApril 29, 20264 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1922488808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IL · 036177817
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2022010401 (MO), 036177817 (IL)
2150 PFINGSTEN RD STE 1200, Glenview, IL 60026

Secondary Practice Location 1

Location 14401 Wornall RdKansas City, MO 64111-3241 · Phone (816) 932-5475

Accepted Insurance

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

Dr. Mirza Samiuddin 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 ID7719290188
PECOS Enrollment IDI20260501001036
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.

Medicare Billing Reassignment

Medicare enrollment records show Mirza Khan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 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.

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 60026 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 15

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

Nurse Practitioner
2150 PFINGSTEN RD STE 1200
GLENVIEW, IL 60026
Nurse Practitioner
2150 PFINGSTEN RD STE 1200
GLENVIEW, IL 60026
Internal Medicine (Cardiovascular Disease)
2150 PFINGSTEN RD STE 1200
GLENVIEW, IL 60026
Nurse Practitioner
2150 PFINGSTEN RD STE 1200
GLENVIEW, IL 60026
Internal Medicine (Cardiovascular Disease)
2150 PFINGSTEN RD STE 1200
GLENVIEW, IL 60026
Internal Medicine (Cardiovascular Disease)
2150 PFINGSTEN RD STE 1200
GLENVIEW, IL 60026
Nurse Practitioner
2150 PFINGSTEN RD STE 1200
GLENVIEW, IL 60026
Internal Medicine (Clinical Cardiac Electrophysiology)
2150 PFINGSTEN RD STE 1200
GLENVIEW, IL 60026

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 Mirza Khan's NPI number?

The NPI number for Mirza Khan is 1922488808. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Mirza Khan located?

Mirza Khan practices at 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026. The listed phone number is (847) 657-1819.

What is Mirza Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mirza Khan enrolled in Medicare?

Yes. Mirza 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.

Which organization bills Medicare for Mirza Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mirza Khan reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, IL). The 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 Mirza Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mirza Khan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Mirza 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 Mirza Khan affiliated with any hospitals?

According to CMS data, Mirza Khan is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Mirza Khan was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.