MRS. NAUSHEEN ZAINAB KHAN (PA) – Medical Physician Assistant, NPI 1205138617

MRS. NAUSHEEN ZAINAB KHAN (PA) is a healthcare provider. based in Skokie, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085.003948 (IL). The NPI Number for MRS. NAUSHEEN ZAINAB KHAN (PA) is 1205138617

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NAUSHEEN ZAINAB KHAN (PA)
NPI
1205138617
Phone
(773) 756-8064
Address
4453 MAIN ST
Enumeration Date
18 November 2010
Last Update Date
18 November 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7085764700
Graduation Year
2010 (16 years ago)
PAC ID
5092991687
Group Practice PAC ID
1153585658
Professional Enrollment ID
I20110516000787
Address ID
IL604537223OA4419XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for MRS. NAUSHEEN ZAINAB KHAN (PA)

  • 4453 MAIN ST

    SKOKIE, IL 600762030

    Phone: (773) 756-8064

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 86 Open Payments records for all available years, with a total value of $1,755.

Total Amount is formed as General ($1,755) + Research ($0) + Ownership ($0) = $1,755.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($534).

Total Amount

$1,755

General + Research + Ownership

Payments

86

Total payment records

General Amount

$1,755

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2011-05-16

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
I20110516000787IPhysician AssistantILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60076)

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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: 1153585658View full group profile
NameSpecialtyState
Family Practice, Geriatric MedicineIL
Nurse PractitionerIL
Family PracticeMI
Nurse PractitionerIL
Nurse PractitionerIL
Family PracticeIL

Reviews

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Frequently asked questions

Can I verify MRS. NAUSHEEN ZAINAB KHAN (PA) with an NPI only?
You can start verification with NPI 1205138617 for MRS. NAUSHEEN ZAINAB KHAN (PA), then check state licensing separately.
Does CMS list MRS. NAUSHEEN ZAINAB KHAN (PA) as active?
Yes — MRS. NAUSHEEN ZAINAB KHAN (PA) is active in the NPI listing used on this page.
What is MRS. NAUSHEEN ZAINAB KHAN (PA)'s primary classification?
Medical Physician Assistant is the headline specialty for MRS. NAUSHEEN ZAINAB KHAN (PA) here. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. NAUSHEEN ZAINAB KHAN (PA)?
MRS. NAUSHEEN ZAINAB KHAN (PA)'s geographic hint is Skokie, Illinois in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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