Humaira Khan (NPI# 1811174105, PAC ID# 0941368120) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1811174105 |
| PAC ID by PECOS | 0941368120 |
| Professional Enrollment ID | I20081016000070 |
| Full Name | Humaira Khan |
| Organization Legal Name | BLUE ISLAND CLINIC COMPANY LLC |
| Address |
12935 S Gregory St Blue Island IL 60406-2428 |
| Phone Number | 7085972000 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8022270685 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140118 | METROSOUTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12246 S Pulaski Rd, Alsip, IL 60803-1405 | 7083855601 | BLUE ISLAND CLINIC COMPANY LLC |
| 12935 S Gregory St, Blue Island, IL 60406-2428 | 7085972000 | BLUE ISLAND CLINIC COMPANY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 64% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
| Organization Legal Name | BLUE ISLAND CLINIC COMPANY LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Townsend Scott | Family Practice | Blue Island Clinic Company LLC | 1701 W Monterey Ave, Chicago, IL 60643-4257 |
| Ann M Scoigletti | Nurse Practitioner | Blue Island Clinic Company LLC | 13305 S Ridgeland Ave, Palos Heights, IL 60463-1808 |
| Ankita Dalal | Family Medicine | Blue Island Clinic Company LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Vanessa Howard | Nurse Practitioner | Blue Island Clinic Company LLC | 2310 York St, Suite 5a, Blue Island, IL 60406-2411 |
| Deina Nemiary | Psychiatry | Blue Island Clinic Company LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Street Address |
12935 S GREGORY ST |
| City | BLUE ISLAND |
| State | IL |
| Zip | 60406-2428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary R Peplinski | General Surgery | Surgical Care Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Laura M Dean | Physician Assistant | Metro Infectious Disease Consultants LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Clark Mcclurkin | Nephrology | Associates In Nephrology Sc | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Luciano Fochesatto Filho | Internal Medicine | Metro Infectious Disease Consultants LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Ravi M Deshmukh | General Surgery | Surgical Care Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Ankita Dalal | Family Medicine | Blue Island Clinic Company LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Joseph Kent | Infectious Disease | Metro Infectious Disease Consultants LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Mohamad Barakat | Internal Medicine | Kidney and Hypertension Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Jessica Stoeberl | Physician Assistant | Surgical Care Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Carl W Johnson Iii | General Surgery | Surgical Care Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura J Lucero | Emergency Medicine | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Nicole Fitzgerald | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Jennifer Komada | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Rebecca Cummings | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Celeste Mcfarland | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Sheri Nichole Morse | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Kristen M Sobol | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Kaitlyn Steinberg | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Naomi Shirleen Chinavong | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Fatima Ali Hyder | Internal Medicine | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Find all physicians in zip 60406 | |||
| City | BLUE ISLAND |
| Zip Code | 60406 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BLUE ISLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Humaira Khan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.