TANEYA KHALID (FNP-C) – Family Medicine Physician, NPI 1467945436

TANEYA KHALID (FNP-C) is a healthcare provider. based in Elgin, Illinois. specializing in Family Medicine Physician. They hold the professional credentials FNP-C. They hold a License No. 209.017785 (IL). The NPI Number for TANEYA KHALID (FNP-C) is 1467945436

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
TANEYA KHALID (FNP-C)
NPI
1467945436
Phone
(224) 629-4525
Address
1750 N RANDALL RD STE 110
Enumeration Date
13 June 2018
Last Update Date
13 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8157483040
Graduation Year
2013 (13 years ago)
PAC ID
6204188030
Group Practice PAC ID
3274767686
Professional Enrollment ID
I20181005002024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for TANEYA KHALID (FNP-C)

  • North Randall Road, Valley Creek, Elgin, Kane County, Illinois, 60123, United States

    ELGIN, IL 601237900

    Phone: (224) 629-4525

    Type: Location

  • 733, Bent Ridge Lane, Elgin, Hanover Township, Cook County, Illinois, 60120, United States

    ELGIN, IL 601205101

    Phone: (630) 890-7420

    Type: Mailing

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: 2018-10-05

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
I20181005002024INurse PractitionerILTBD

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 60123)

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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: 3274767686View full group profile
NameSpecialtyState
Nurse PractitionerIL
Family PracticeIL
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
-IL
Nurse PractitionerIL
Family PracticeIL

Reviews

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Frequently asked questions

What unique ID ties claims to TANEYA KHALID (FNP-C)?
NPI 1467945436 is assigned to TANEYA KHALID (FNP-C) under the national enumeration system.
Is TANEYA KHALID (FNP-C) currently active in the NPI registry?
CMS-published data lists TANEYA KHALID (FNP-C) as an active registrant.
What kind of provider is TANEYA KHALID (FNP-C)?
The page reflects Family Medicine Physician for TANEYA KHALID (FNP-C). Clinical services aligned with this taxonomy classification.
Does TANEYA KHALID (FNP-C) practice in Illinois?
You will see Elgin, Illinois on file for TANEYA KHALID (FNP-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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