Look up the most recent NPI and PECOS records

Muhammad Ali Khaqan

Internal Medicine

Allopathic & Osteopathic Physicians

1901 W Harrison St, Chicago, IL 60612-3714

PECOS Enrollment

Based on the most recent information from CMS, provider Muhammad Ali Khaqan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1033781810
Provider Type
Individual
Full Name
Khaqan, Muhammad Ali
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/12/2021
Last Updated
7/12/2021

Contact Information

Practice Location

1901 W Harrison St, Chicago, IL 60612-3714

(312) 864-6000

Unlisted Fax

Mailing Location

1901 W Harrison St, Chicago, IL 60612-3714

(312) 864-6000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 125077827 Illinois

Muhammad Ali Khaqan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Shetty, Varun

Louie, Cynthia

Herrera Mercedes, Sarah Massiel

Ilelaboye, Ayodeji Israel

Zarza, Patricia

Mohammed, Abdul

Kehoe, William R

Nanda, Kshitij

Jung, Minki

Crane, Stephanie Lynn