Individual provider Active NPI

Amer H. Khan, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Roseville, CA
National Provider Identifier
1013095777
Registry record updated Oct 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
A066762 Issued in CA
Practice address
3001 Douglas Blvd
Suite 220
Roseville, CA 95661-3851
Phone
(916) 719-3372
Fax
(510) 350-9190
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X A66762 CA
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X A066762 CA Primary

Addresses

Primary practice location

3001 Douglas Blvd
Suite 220
Roseville, CA 95661-3851

Mailing address

3001 Douglas Blvd
Suite 220
Roseville, CA 95661-3851
Phone (916) 719-3372

Other identifiers 1

IdentifierTypeStateIssuer
00A667620MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070906000411 CA Practitioner - Sleep MedicinePractitioner - Pediatric MedicinePractitioner - Neuropsychiatry 5597858639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Neuropsychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3005 Douglas Blvd
Suite 105
Roseville, CA 95661-3885
Phone (916) 742-7718

Hospital & facility affiliations

  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

Merit-based Incentive Payment System (MIPS)

Final score
29.44 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
78.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66762CAMDNeurology with Special Qualifications in Child Neurology Physician
A066762CAMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sehatu Inc Neurology With Special Qualifications in Child Neurology CurrentSince Mar 2, 2015 Accepting new patients
Sutter West Bay Medical Foundation PastSince Jun 15, 2015 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

1645 Creekside Dr
Fl 2
Folsom, CA 95630

3001 Douglas Blvd
Ste 220
Roseville, CA 95661
Phone (916) 719-3372

3005 Douglas Blvd
#205
Roseville, CA 95661

3005 Douglas Blvd
Ste 105
Roseville, CA 95661
Phone (916) 719-3372

Interoperability endpoints

  • Direct secure messaging: akhanmd34584@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475366400000",
    "number": "1013095777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 DOUGLAS BLVD",
            "address_2": "SUITE 220",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613851",
            "telephone_number": "916-719-3372",
            "fax_number": "510-350-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 DOUGLAS BLVD",
            "address_2": "SUITE 220",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613851",
            "telephone_number": "916-719-3372",
            "fax_number": "510-350-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AMER",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "A66762",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "A066762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A667620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.