Individual provider Active NPI

Farhan Khan, DO

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1013251347
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS016599 Issued in PA
Practice address
4190 City Ave Ste 315
Department of Surgery
Philadelphia, PA 19131-1633
Phone
(215) 871-6942
NPI assigned
Nov 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X OS016599 PA
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X OS016599 PA Primary

Addresses

Primary practice location

4190 City Ave Ste 315
Department of Surgery
Philadelphia, PA 19131-1633

Mailing address

3903 City Ave
Apt C710
Philadelphia, PA 19131-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131007000973 PA Practitioner - Internal MedicinePractitioner - Emergency Medicine 7810121837 Reassigns benefits to 1 organization
I20221028001808 IL Practitioner - Emergency Medicine 7810121837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Emergency Physicians LLCGroup PAC ID 1850657180, 44 clinicians

Practice addresses (Care Compare)

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 978-6200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 2, 2022 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 2, 2022 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince May 15, 2020 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince May 15, 2020 Accepting new patients
Jefferson Acute Care Physicians, PC Current Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients

Locations

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

700 Walnut St
Philadelphia, PA 19106
Phone (215) 503-7300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1013251347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 CITY AVE",
            "address_2": "APT C710",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 CITY AVE STE 315",
            "address_2": "DEPARTMENT OF SURGERY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311633",
            "telephone_number": "215-871-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FARHAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-27",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "OS016599",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS016599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.