DR. WAJID A KHAN (M.D.) – Psychiatry Physician, NPI 1629162359

DR. WAJID A KHAN (M.D.) is a healthcare provider. based in East dundee, Illinois. specializing in PSYCHIATRY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036115038 (IL). The NPI Number for DR. WAJID A KHAN (M.D.) is 1629162359

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. WAJID A KHAN (M.D.)
NPI
1629162359
Phone
(847) 836-7015
Address
185 PENNY AVE
Enumeration Date
3 October 2006
Last Update Date
15 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2198369200
Graduation Year
1992 (34 years ago)
PAC ID
7911915624
Group Practice PAC ID
9739476201
Professional Enrollment ID
I20170322000663
Address ID
IN463214176MU9335XAVEX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,367 PSYCHIATRY in IL

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Provider Addresses for DR. WAJID A KHAN (M.D.)

  • 185, Penny Avenue, East Dundee, Kane County, Illinois, 60118, United States

    EAST DUNDEE, IL 601181454

    Phone: (847) 836-7015

    Type: Mailing

  • 200, Hammes Avenue, Joliet, Will County, Illinois, 60435, United States

    SUITE 3

    JOLIET, IL 604356677

    Phone: (815) 744-8253

    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: 2017-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060322000273IInternal MedicineILTBD
I20170322000663IPsychiatryINTBD

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 60118)

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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: 9739476201View full group profile
NameSpecialtyState
Nurse PractitionerIL
-WI
Internal Medicine, Emergency MedicineIN
P S Y C H I A T R YIN
-IN
-NE
Nurse PractitionerIL
Physician AssistantIN
-IN
Nurse PractitionerIN

Reviews

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Frequently asked questions

Where can patients find DR. WAJID A KHAN (M.D.)'s NPI?
You can confirm DR. WAJID A KHAN (M.D.) with NPI 1629162359; it appears in the national provider directory.
Is DR. WAJID A KHAN (M.D.) currently active in the NPI registry?
CMS-published data lists DR. WAJID A KHAN (M.D.) as an active registrant.
What field does DR. WAJID A KHAN (M.D.) work in?
You can think of DR. WAJID A KHAN (M.D.) as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does DR. WAJID A KHAN (M.D.) practice in Illinois?
You will see East Dundee, Illinois on file for DR. WAJID A KHAN (M.D.) alongside any extra practice locations.
Is DR. WAJID A KHAN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1629162359. Always confirm identity and privileges with the practice and licensing boards.

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