KHAJA A NASARUDDIN (M.D.) – Anesthesiology Physician, NPI 1679575658

KHAJA A NASARUDDIN (M.D.) is a healthcare provider. based in Lombard, Illinois. specializing in ANESTHESIOLOGY, PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. 036089350 (IL). The NPI Number for KHAJA A NASARUDDIN (M.D.) is 1679575658

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
KHAJA A NASARUDDIN (M.D.)
NPI
1679575658
Phone
(630) 874-2542
Address
520 E 22ND ST
Enumeration Date
10 August 2005
Last Update Date
3 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2246540800
Graduation Year
1984 (42 years ago)
PAC ID
7012815137
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20040806000891
Address ID
IL601429553HU10400RDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,631 ANESTHESIOLOGY in IL

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Provider Addresses for KHAJA A NASARUDDIN (M.D.)

  • 520, East 22nd Street, Highland Hills, Lombard, DuPage County, Illinois, 60148, United States

    LOMBARD, IL 601486110

    Phone: (630) 874-2542

    Fax: (630) 874-2642

    Type: Mailing

  • Centegra Hospital-Woodstock, 3701, Doty Road, Woodstock, McHenry County, Illinois, 60098, United States

    WOODSTOCK, IL 600987509

    Phone: (815) 334-3170

    Type: Location

  • 10400 Haligus Rd

    Huntley, IL 601429553

    Phone: (224) 654-0000

    Fax: (224) 654-0000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-11-15 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($38).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$38
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: 2004-08-06

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
I20040806000891IAnesthesiologyILTBD

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
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)5958$0
64450Injection of anesthetic agent and/or steroid into other nerve or branch5756$0
76942Ultrasonic guidance for needle placement4343$0
01402Anesthesia for procedure for total knee joint replacement2828$0
01214Anesthesia for total hip replacement1919$0
View full utilization report →

Insurance plans in this area (ZIP 60148)

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Provider's Procedures

KHAJA A NASARUDDIN (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIL00142Anesthesia for lens surgery1616
ANESTHESIOLOGYIL62311Injections of substances into lower or sacral spine6946

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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

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Frequently asked questions

Is there an official ID for KHAJA A NASARUDDIN (M.D.) in U.S. healthcare records?
The official identifier for KHAJA A NASARUDDIN (M.D.) is NPI 1679575658.
Is KHAJA A NASARUDDIN (M.D.) still an active registrant?
KHAJA A NASARUDDIN (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for KHAJA A NASARUDDIN (M.D.)?
At a glance, KHAJA A NASARUDDIN (M.D.) is tied to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KHAJA A NASARUDDIN (M.D.)?
Travel planning: use Lombard, Illinois as the reference point for KHAJA A NASARUDDIN (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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