NPIMap

Individual provider Active NPI

Aftab M Khan, MD

  • Psychiatry Physician
  • Tuscaloosa, AL
National Provider Identifier
1003075516
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD32989 Issued in AL
Practice address
2201 Jack Warner Pkwy
Tuscaloosa, AL 35401-1090
Phone
(205) 343-9090
Fax
(205) 860-6332
NPI assigned
Jun 9, 2008
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD434527 PA
Psychiatry Physician 2084P0800X MD32989 AL Primary

Addresses

Primary practice location

2201 Jack Warner Pkwy
Tuscaloosa, AL 35401-1090

Mailing address

2201 Jack Warner Pkwy
Tuscaloosa, AL 35401-1090
Phone (205) 343-9090

Other identifiers 1

IdentifierTypeStateIssuer
MD434527OtherPAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140312001740 AL Practitioner - Psychiatry 5294889986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpha Neuron, LLCGroup PAC ID 8022438266, 6 clinicians

Practice addresses (Care Compare)

2201 Jack Warner Pkwy
Tuscaloosa, AL 35401-1090
Phone (205) 523-5618

6235 Watling Circle
Tuscaloosa, AL 35406-0322
Phone (205) 292-2428

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
17.57 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
58.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD32989ALMDPsychiatry Physician
MD434527PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aftab Khan MD LLC Psychiatry Current Accepting new patients
Alpha Neuron, LLC Psychiatry CurrentSince Nov 1, 2023 Accepting new patients
Alpha Neuron, LLC CurrentSince Nov 1, 2023 Accepting new patients
SVPS Psychiatric Services LLC Psychiatry Past Accepting new patients
The DCH Health Care Authority Past Accepting new patients
The DCH Healthcare Authority Past Accepting new patients

Locations

2201 Jack Warner Pkwy
Tuscaloosa, AL 35401
Phone (205) 523-5618

Interoperability endpoints

  • Direct secure messaging: khan.aftab@ncc-al.direct.office.nextgen.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1003075516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 JACK WARNER PKWY",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011090",
            "telephone_number": "205-343-9090",
            "fax_number": "205-860-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 JACK WARNER PKWY",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011090",
            "telephone_number": "205-343-9090",
            "fax_number": "205-860-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AFTAB",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD434527",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD32989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD434527",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.