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SAFIA KHAN MUJTABA PMHNP
NPI 1922876309
Nurse Practitioner - Psychiatric/Mental Health in Northbrook, IL

Active since December 15, 2023PECOS Enrolled
4201 LAKE COOK RD STE 200, NORTHBROOK, IL 60062(847) 565-8999 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Safia Khan Mujtaba Pmhnp NPPES

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

SAFIA KHAN MUJTABA PMHNP (NPI 1922876309) is an individual psychiatric/mental health provider in Northbrook, Illinois, licensed in Illinois (209.029049) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oak Brook, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1922876309
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAFIA KHAN MUJTABACredential: PMHNP
Location Address4201 LAKE COOK RD STE 200Northbrook, IL 60062-1060
Mailing Address393 Vinings DrBloomingdale, IL 60108-2630 · (224) 425-7253
Phone(847) 565-8999
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 15, 2023
NPPES CertifiedDecember 15, 2023
✔ NPI 1922876309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209.029049
4201 LAKE COOK RD STE 200, Northbrook, IL 60062
Open in Google Maps ↗

Other Names 1

Former Name (1)Safia Khan

Secondary Practice Location 1

Location 11010 Jorie Blvd Ste 200Oak Brook, IL 60523-2240 · Phone (630) 426-1014

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Safia Khan Mujtaba Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618451394
PECOS Enrollment IDI20260320000126
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60062 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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 8

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

KAREN BROWN LCPC
Counselor (Mental Health)
4201 LAKE COOK RD STE 200
NORTHBROOK, IL 60062
Cook County (469) 344-2014
GRACE BERNER
Counselor
4201 LAKE COOK RD STE 200
NORTHBROOK, IL 60062
Cook County (847) 378-7241
ALLISON TATE LPC
Counselor (Professional)
4201 LAKE COOK RD STE 200
NORTHBROOK, IL 60062
Cook County (847) 565-8999
MEGAN FALLON
Dietitian, Registered
4201 LAKE COOK RD STE 200
NORTHBROOK, IL 60062
Cook County (847) 378-7246
AYESHA SHAFEEQ RD
Dietitian, Registered
4201 LAKE COOK RD STE 200
NORTHBROOK, IL 60062
Cook County (630) 660-1776
MARGARET ELIZABETH DAHL RD
Dietitian, Registered
4201 LAKE COOK RD STE 200
NORTHBROOK, IL 60062
Cook County (773) 321-2741
SARAH MULDROW
Social Worker (Clinical)
4201 LAKE COOK RD STE 200
NORTHBROOK, IL 60062
Cook County (847) 565-8999
SHERIDAN SCHMELIG MSW
Social Worker
4201 LAKE COOK RD STE 200
NORTHBROOK, IL 60062
Cook County (847) 565-8999

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 Safia Mujtaba's NPI number?

The NPI number for Safia Mujtaba is 1922876309. It was assigned to this individual provider in the NPPES registry on December 15, 2023. The provider is also known as Safia Khan.

Where is Safia Mujtaba located?

Safia Mujtaba practices at 4201 Lake Cook Rd Ste 200, Northbrook, IL 60062. The listed phone number is (847) 565-8999.

What is Safia Mujtaba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Safia Mujtaba enrolled in Medicare?

Yes. Safia Mujtaba is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Safia Mujtaba was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.