DR. KHAJA ASADULLAH (M.D.) – Geriatric Medicine (Internal Medicine) Physician, NPI 1578515409

DR. KHAJA ASADULLAH (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036099650 (IL). The NPI Number for DR. KHAJA ASADULLAH (M.D.) is 1578515409

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. KHAJA ASADULLAH (M.D.)
NPI
1578515409
Phone
(815) 464-7212
Address
1480 MOMENTUM PL
Enumeration Date
17 May 2006
Last Update Date
11 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8154647212
Graduation Year
1992 (34 years ago)
PAC ID
6103874615
Group Practice PAC ID
2163470766
Professional Enrollment ID
I20050111000431
Address ID
IL604231274FR10181HWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for DR. KHAJA ASADULLAH (M.D.)

  • 1480 MOMENTUM PL

    CHICAGO, IL 606895314

    Phone: (815) 464-7212

    Fax: (815) 464-7251

    Type: Mailing

  • West Lincoln Highway, Frankfort, Rich Township, Will County, Illinois, 60487, United States

    FRANKFORT, IL 604231274

    Phone: (815) 464-7212

    Fax: (815) 464-7251

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $367.

Total Amount is formed as General ($367) + Research ($0) + Ownership ($0) = $367.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Corcept Therapeutics ($44).

Total Amount

$367

General + Research + Ownership

Payments

19

Total payment records

General Amount

$367

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2005-01-11

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
I20050111000431IInternal MedicineILTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes3,062453$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes857125$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes438222$0
99213Established patient office or other outpatient visit, 20-29 minutes364141$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes302281$0
View full utilization report →

Insurance plans in this area (ZIP 60689)

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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: 2163470766View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Where can patients find DR. KHAJA ASADULLAH (M.D.)'s NPI?
You can confirm DR. KHAJA ASADULLAH (M.D.) with NPI 1578515409; it appears in the national provider directory.
Does this profile mean DR. KHAJA ASADULLAH (M.D.) is currently active?
Yes — DR. KHAJA ASADULLAH (M.D.) appears active in the national provider directory.
Can you summarize DR. KHAJA ASADULLAH (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. KHAJA ASADULLAH (M.D.) with Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. KHAJA ASADULLAH (M.D.)?
We surface Chicago, Illinois for DR. KHAJA ASADULLAH (M.D.) based on available NPPES addresses.
How can I contact DR. KHAJA ASADULLAH (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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