Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shadab Ali Khan, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1952729915

Shadab Ali Khan, MD is a Diagnostic Radiology in Rockford, Illinois. Graduated from University of Rochester School of Medicine and Dentistry in 2014, 12 years ago. Practices with Radiology Consultants of Rockford Ltd, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Trained at
University of Rochester School of Medicine and Dentistry
Licensed in
IL
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5666 E State St
Rockford, IL 61108-2425
Phone: (815) 227-2512
Fax: (779) 227-6158
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1740 W Taylor St, Chicago, IL 60612-7232 — (866) 600-2273

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 036143740 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952729915
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2014
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated 2014 (12 years in practice)
Group practice Radiology Consultants Of Rockford Ltd — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockford