MRS. ANJUM FATIMA KHATOON (D.O.) – Psychiatry Physician, NPI 1174784961

MRS. ANJUM FATIMA KHATOON (D.O.) is a healthcare provider. based in North chicago, Illinois. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. 724971 (IL). The NPI Number for MRS. ANJUM FATIMA KHATOON (D.O.) is 1174784961

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANJUM FATIMA KHATOON (D.O.)
NPI
1174784961
Phone
(847) 983-4262
Address
3333 GREEN BAY DRIVE
Enumeration Date
24 June 2008
Last Update Date
6 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6306827400
Graduation Year
2006 (20 years ago)
PAC ID
6103088224
Group Practice PAC ID
4981695103
Professional Enrollment ID
I20120507000145
Address ID
IL605591502WE422XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,367 PSYCHIATRY in IL

Loading map...

Provider Addresses for MRS. ANJUM FATIMA KHATOON (D.O.)

  • 3333 GREEN BAY DRIVE

    ATTN PSYCHIATRY DEPARTMENT

    NORTH CHICAGO, IL 60064

    Phone: (847) 983-4262

    Type: Mailing

  • Rosalind Franklin University of Medicine and Science, 3333, Green Bay Road, Five Points, North Chicago, Illinois, 60064, United States

    ATTN PSYCHIATRY DEPARTMENT

    NORTH CHICAGO, IL 60064

    Phone: (847) 983-4262

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-05-07

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
I20120507000145IPsychiatryILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes28186$0
90837Psychotherapy, 1 hour20333$0
99213Established patient office or other outpatient visit, 20-29 minutes13952$0
90791Psychiatric diagnostic evaluation3923$0
90832Psychotherapy, 30 minutes3619$0
View full utilization report →

Insurance plans in this area (ZIP 60064)

Loading plans...

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: 4981695103View full group profile
NameSpecialtyState
Nurse PractitionerCO
-IL
-IL
Clinical Social WorkerIL
Clinical Social WorkerIL
Nurse PractitionerIL
Internal MedicineIL
-IL
Mental Health CounselorIL
Mental Health CounselorIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to MRS. ANJUM FATIMA KHATOON (D.O.)?
NPI 1174784961 is assigned to MRS. ANJUM FATIMA KHATOON (D.O.) under the national enumeration system.
Is MRS. ANJUM FATIMA KHATOON (D.O.) currently active in the NPI registry?
CMS-published data lists MRS. ANJUM FATIMA KHATOON (D.O.) as an active registrant.
What does MRS. ANJUM FATIMA KHATOON (D.O.) treat or focus on?
Patients typically see MRS. ANJUM FATIMA KHATOON (D.O.) under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where is MRS. ANJUM FATIMA KHATOON (D.O.)'s primary listing?
We display North Chicago, Illinois because that is what the record indicates for MRS. ANJUM FATIMA KHATOON (D.O.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

620 JOHN PAUL JONES CIR
NPI: 1598738445
Green Bay Road, North Chicago, Lake County, Illinois, 60044, United States
NPI: 1821057209

EDWIN K SIMON (M.D.)

Sleep Medicine (Psychiatry & Neurology) Physician
PO BOX 610
NPI: 1376503292

NUTAN ATRE-VAIDYA (M.D.)

Psychiatry Physician
Green Bay Road, Five Points, North Chicago, Illinois, 60088, United States
NPI: 1326092842

DR. CORINNE JUDITH BELSKY (MD)

Psychiatry Physician
Captain James A. Lovell Federal Health Care Center, 3001, Green Bay Road, Five Points, North Chicago, Lake County, Illinois, 60064, United States
NPI: 1902824113

LYNN MARIE MALANFANT

Psychiatry Physician
Captain James A. Lovell Federal Health Care Center, 3001, Green Bay Road, Five Points, North Chicago, Lake County, Illinois, 60064, United States
NPI: 1053334425

Unknown Individual

Psychiatry Physician
857, Summit Avenue, Lake Forest, Lake County, Illinois, 60045, United States
NPI: 1366466260
Sheridan Road, Braeside, Highland Park, Illinois, 60022, United States
NPI: 1447266465
Captain James A. Lovell Federal Health Care Center, 3001, Green Bay Road, Five Points, North Chicago, Lake, Illinois, 60064, United States
NPI: 1467461988