DR. OMAR KHAN (MD) – Gastroenterology Physician, NPI 1083812192

DR. OMAR KHAN (MD) is a healthcare provider. based in Maywood, Illinois. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 01071060A (IN). The NPI Number for DR. OMAR KHAN (MD) is 1083812192

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. OMAR KHAN (MD)
NPI
1083812192
Phone
(708) 216-4403
Address
2160 S 1ST AVE
Enumeration Date
10 July 2007
Last Update Date
2 April 2021

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8475702570
Graduation Year
2005 (21 years ago)
PAC ID
1759451248
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20130618000635
Address ID
IL600352558HI757XXWXXX402
Telehealth
Yes

Contacts

Secure Messaging
okhan263929@direct.northshore.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

978 GASTROENTEROLOGY in IL

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Provider Addresses for DR. OMAR KHAN (MD)

  • 2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States

    MAYWOOD, IL 601533328

    Phone: (708) 216-4403

    Fax: (708) 216-3375

    Type: Mailing

  • 757 PARK AVE W STE 2850

    HIGHLAND PARK, IL 600352558

    Phone: (847) 657-1900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $251.

Total Amount is formed as General ($251) + Research ($0) + Ownership ($0) = $251.

Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Averitas Pharma Inc. ($123).

Total Amount

$251

General + Research + Ownership

Payments

4

Total payment records

General Amount

$251

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130618000635IGastroenterologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito110110$0
99214Established patient office or other outpatient visit, 30-39 minutes8972$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare7978$0
45380Biopsy of large bowel using a flexible endoscope7070$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6147$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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Provider's Procedures

DR. OMAR KHAN (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYIL45378Diagnostic examination of large bowel using an endoscope2525

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

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Frequently asked questions

How do I look up DR. OMAR KHAN (MD) by NPI?
Use NPI 1083812192 when you need to reference DR. OMAR KHAN (MD) in forms, claims, or directories.
Is DR. OMAR KHAN (MD) active in the national directory?
DR. OMAR KHAN (MD)'s public NPI profile is in an active state.
What kind of provider is DR. OMAR KHAN (MD)?
The page reflects Gastroenterology Physician for DR. OMAR KHAN (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. OMAR KHAN (MD)?
The page summarizes Maywood, Illinois for DR. OMAR KHAN (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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