Active NPI
Muhammad Haroon Khan, MD
- Internal Medicine Physician
- Joplin, MO
National Provider Identifier
1003825795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD200399
- Practice address
- 2727 MC Clelland Blvd
Joplin, MO 64804-1626 - Phone
- (417) 659-6336
- Fax
- (417) 659-6348
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD200399 | LA | Primary |
Addresses
Primary practice location
2727 MC Clelland Blvd
Joplin, MO 64804-1626
Mailing address
PO Box 708787
Sandy, UT 84070-8787
Phone (866) 869-2395
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00382318 | Other | MO | RAIL ROAD MEDICARE |
| 300702 | Medicaid | SC | |
| 215363 | Other | MO | BCBS |
| P00431842 | Other | SC | RAIL ROAD MEDICARE |
| 201060809 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD200399 | LA | MD | Internal Medicine Physician |
| 200399 | LA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Missouri Inc | Internal Medicine | Past | Accepting new patients |
| Apogee Medical Group South Carolina | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1679514277
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1619028545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1003825795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 708787",
"city": "SANDY",
"state": "UT",
"postal_code": "840708787",
"telephone_number": "866-869-2395",
"fax_number": "801-352-9502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 MC CLELLAND BLVD",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041626",
"telephone_number": "417-659-6336",
"fax_number": "417-659-6348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "MUHAMMAD",
"middle_name": "HAROON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD200399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00382318",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300702",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "215363",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00431842",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201060809",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.