KHANSA AHMAD (M.D) – Cardiovascular Disease Physician, NPI 1366837007

KHANSA AHMAD (M.D) is a healthcare provider. based in Oak lawn, Illinois. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D. They hold a License No. 1019208 (MA). The NPI Number for KHANSA AHMAD (M.D) is 1366837007

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KHANSA AHMAD (M.D)
NPI
1366837007
Phone
(708) 684-8000
Address
4440W 95TH ST
Enumeration Date
31 March 2015
Last Update Date
10 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817448771
Graduation Year
2012 (14 years ago)
PAC ID
7911217021
Group Practice PAC ID
2264336528
Professional Enrollment ID
I20240904001569
Address ID
MA018050001BU41XXXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:11State licenses:1Digital endpointsOther names

1,398 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MA

Provider Addresses for KHANSA AHMAD (M.D)

  • 4440W 95TH ST

    OAK LAWN, IL 604532600

    Phone: (708) 684-8000

    Type: Mailing

  • 41 Mall Rd

    Burlington, MA 018055749

    Phone: (781) 744-8085

    Type: Location

  • 736 Cambridge St, 4th FL

    Cardiovascular Medicine Suite, 4th FL Margaret's

    Brighton, MA 02135

    Phone: (617) 562-7690

    Fax: (617) 562-7699

    Type: Location

  • 495 Western Ave

    Brighton, MA 021351007

    Phone: (617) 783-0500

    Fax: (617) 562-1398

    Type: Location

  • 960 MASSACHUSETTS AVE

    FL 2

    BOSTON, MA 02118

    Phone:

    Type: Mailing

  • 4600 N CLARENDON AVE APT 508

    CHICAGO, IL 606405749

    Phone: (832) 477-6443

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $2,369.

Total Amount is formed as General ($2,369) + Research ($0) + Ownership ($0) = $2,369.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($1,906).

Total Amount

$2,369

General + Research + Ownership

Payments

18

Total payment records

General Amount

$2,369

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

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: 2024-09-04

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
I20240904001569ICardiovascular Disease (Cardiology)MATBD

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 60453)

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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: 2264336528View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
G A S T R O E N T E R O L O G YNY
Physician AssistantMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

What is the standard ID for KHANSA AHMAD (M.D) in the U.S.?
In the U.S., KHANSA AHMAD (M.D) is identified by NPI 1366837007.
Should I treat KHANSA AHMAD (M.D) as an active provider?
Patients and plans typically see KHANSA AHMAD (M.D) as active in the national extract.
What type of care does KHANSA AHMAD (M.D) provide?
KHANSA AHMAD (M.D)'s profile centers on Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What city is tied to KHANSA AHMAD (M.D)?
The directory associates KHANSA AHMAD (M.D) with Oak Lawn, Illinois. Check all listed addresses for suites or satellite offices.
Why is information missing for KHANSA AHMAD (M.D)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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