KAMRAN KHATRI – Registered Nurse, NPI 1821441619
Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KAMRAN KHATRI
710 ROSEDALE RD
GLENVIEW, IL 600253951
Phone: (847) 932-9558
Type: Mailing
6319 FAIRVIEW AVE STE 101
WESTMONT, IL 605592889
Phone: (630) 451-9352
Type: Location
PO BOX 959
YAKIMA, WA 989070959
Phone: (847) 932-9558
Type: Mailing
402 S 4TH AVE
YAKIMA, WA 989023546
Phone: (509) 575-4084
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: 2024-10-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20160902000982 | I | Nurse Practitioner | IL | TBD |
| I20240425003967 | I | Nurse Practitioner | MI | TBD |
| I20240516003063 | I | Nurse Practitioner | CT | TBD |
| I20240628003608 | I | Nurse Practitioner | KS | TBD |
| I20241001000246 | I | Nurse Practitioner | MN | 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 60025)
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