Dr. Ishan Khosla, MD
Surgery in Chicago, IL. Individual provider (NPI-1).
NPI number1760239552
StatusActive
Last updated in NPPESJun 12, 2026
Details
- NPI
- 1760239552
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ishan Khosla
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2024
- Certification date
- Jun 12, 2026
- Last updated
- Jun 12, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 125.088173 | IL | Yes |
Practice location
600 S Paulina St Ste 403Chicago, IL 60612-3806
Phone 312-942-7100
Mailing address
600 S Paulina St Ste 403Chicago, IL 60612-3806
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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