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Active NPI 1477983914 Individual Practitioner Male Practitioner

Mohammad Hassan Khan , ARNP

Nurse Practitioner • Glen Ellyn, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mohammad Khan, ARNP is a certified Nurse Practitioner practicing in Glen Ellyn, IL. With approximately 13 years of clinical experience since completing medical education in 2013, Mohammad Khan delivers high-quality medical care to the local community at 430 PENNSYLVANIA AVE STE 150.

Mohammad Khan is affiliated with Dupage Medical Group Ltd and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

430 Pennsylvania Ave Ste 150

Glen Ellyn, IL 601374464

Telephone 8886936437
Fax 6304326667
Associated Practice Facility / Clinic
🏢 Dupage Medical Group, Ltd. Facility NPI 1295194686

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Glen Ellyn, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +3.5 yrs vs City Avg
City Avg: 9.5 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
10 Specialists

Practicing in Glen Ellyn, IL (4929 Statewide)

Telehealth Adoption Rate
40.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
80.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Khan (13 Years) 13 Yrs
Glen Ellyn Specialty Average (9.5 Years) 9.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
23 19 $15.00 $2.94

Medical Specialties & State Licenses

CMS Verified: 2025-02-03
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209-027530

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License VA 0024186831

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TX 1072803

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License FL ARNP9347075

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
010233100 (FL)

Hospital & Practice Group Affiliations

Dupage Medical Group Ltd

430 Pennsylvania Ave, Glen Ellyn, IL 601374464

Phone: 6304699200

Secondary Practice Locations

8300 Esters Blvd Ste 900

Irving, TX 750632233

Phone: 4154244266

10775 Pioneer Trl Ste 215

Truckee, CA 961610234

Phone: 4154244266

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Uzma Shamsi , MS, FNP-C

Nurse Practitioner

NPI 1003334418

Master of Science, Family Nurse Practitioner (Certified)

Dr. Jordan Moskoff , MD

Emergency Medicine

NPI 1033228879

Doctor of Medicine (M.D.)

Dr. Erika Clayton , MD

Emergency Medicine

NPI 1033401153

Doctor of Medicine (M.D.)

Dr. John Dymowski , MD

Emergency Medicine

NPI 1053312280

Doctor of Medicine (M.D.)

Dr. Brian Lenahan , DO

Family Medicine

NPI 1053462788

Doctor of Osteopathic Medicine (D.O.)

Thomas Reardon , PA

Physician Assistant - Medical

NPI 1073527511

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
📍
Updated Practice Location February 03, 2025

Registered at 430 PENNSYLVANIA AVE STE 150, GLEN ELLYN, IL 601374464 (Tel: 8886936437)

📍
Updated Business Mailing Address February 03, 2025

Registered at PO BOX 713260, CHICAGO, IL 606771260 (Tel: 6304699200)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2025

Nurse Practitioner (License #209-027530 in IL)

📍
Updated Practice Location April 11, 2023

Registered at 10775 PIONEER TRL STE 215, TRUCKEE, CA 961610234 (Tel: 4154244266)

📍
Updated Business Mailing Address April 11, 2023

Registered at 9100 S DADELAND BLVD STE 1500, MIAMI, FL 331567816 (Tel: 4154244266)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2023

Nurse Practitioner (License #0024186831 in VA)

📍
Updated Practice Location November 21, 2018

Registered at 13275 W COLONIAL DR, WINTER GARDEN, FL 347873984 (Tel: 4079058827)

NPI Profile Active July 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2017

Registered at 840 MERCY DR, ORLANDO, FL 328087820 (Tel: 4079058827)

📍
Updated Business Mailing Address July 28, 2017

Registered at 110 S WOODLAND ST, WINTER GARDEN, FL 347873546 (Tel: (407) 905-8827)

👤
Provider Name / Credentials Updated July 28, 2017

Recorded as MOHAMMAD KHAN, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2017

Nurse Practitioner (License #ARNP9347075 in FL)

📍
Updated Business Mailing Address June 15, 2017

Registered at 840 MERCY DR, ORLANDO, FL 328087820 (Tel: 4079058827)

NPI Profile Active December 19, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2014

Registered at 5350 SPRING HILL DR, SPRING HILL, FL 346064562 (Tel: 3526888116)

📍
Updated Business Mailing Address December 19, 2014

Registered at 14690 SPRING HILL DR, #101, SPRING HILL, FL 346098102 (Tel: 3527990046)

👤
Provider Name / Credentials Updated December 19, 2014

Recorded as MOHAMMAD KHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2014

Nurse Practitioner (License #ARNP9347075 in FL)

🟢
Initial NPI Registration & Enumeration November 20, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477983914
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2013
Last Update: February 03, 2025
Sole Proprietor: No

Mailing Address

Po Box 713260

Chicago, IL 606771260

Phone: 6304699200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.