DR. SAMEER KHAN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1427467703
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,038 PODIATRY in IL
Provider Addresses for DR. SAMEER KHAN (DPM)
6326 CERMAK RD
BERWYN, IL 604022304
Phone: (708) 303-9234
Fax: (773) 729-2074
Type: Mailing
684 CITADEL DR
WESTMONT, IL 605595559
Phone: (708) 271-7756
Type: Mailing
1S450 SUMMIT AVE STE 180A
OAKBROOK TERRACE, IL 601813990
Phone: (630) 468-0442
Type: Location
6600 Lyndale Ave S Ste 130
Richfield, MN 554233398
Phone: (612) 788-8778
Fax: (612) 869-3473
Type: Location
12 N 7th Ave
Mount Vernon, NY 105502026
Phone: (914) 361-7990
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2018-11-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181119001986 | I | Podiatry | IL | TBD |
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.
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 60402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation, Pain Management | IN | |
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation | TX | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine, Hospitalist, Internal Medicine | IL |
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