Individual provider Active NPI

Tahir Muhammad Abdullah Khan, M.B.B.S.

  • Pulmonary Disease Physician
  • Marshfield, WI
National Provider Identifier
1013328095
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
53706 Issued in KY
Practice address
1000 N Oak Ave
Marshfield, WI 54449-5702
Phone
(715) 387-5511
Fax
(715) 387-5240
NPI assigned
May 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 66774 WI
Pulmonary Disease Physician 207RP1001X 53706 KY Primary

Addresses

Primary practice location

1000 N Oak Ave
Marshfield, WI 54449-5702

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, KY2 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
I20170622001701 WI Practitioner - HospitalistPractitioner - Internal Medicine 0042588683 Reassigns benefits to 2 organizations
I20230721000274 KY Practitioner - Internal Medicine 0042588683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bowling Green-Warren County Community Hospital CorporationGroup PAC ID 7719899947, 117 clinicians
Commonwealth Health Corporation, Inc.Group PAC ID 5496667628, 268 clinicians

Practice addresses (Care Compare)

401 S L Rogers Wells Blvd
Glasgow, KY 42141-1725
Phone (270) 261-5640

421 US 31W Byp
Bowling Green, KY 42101-1775
Phone (270) 782-0151

Hospital & facility affiliations

  • The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013
  • The Medical Center at Franklin Hospital, Franklin, KY, CCN 181318
  • Caverna Memorial Hospital Hospital, Horse Cave, KY, CCN 181314
  • The Medical Center at Scottsville Hospital, Scottsville, KY, CCN 181324
  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53706KYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshfield Clinic Inc CurrentSince Jul 10, 2017 Accepting new patients
Commonwealth Health Corporation, Inc. Pulmonary Disease CurrentSince Aug 1, 2024 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Past Accepting new patients
Commonwealth Health Corporation Past Accepting new patients

Locations

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

825 2nd Ave
Ste B1
Bowling Green, KY 42101
Phone (270) 843-8600

350 Park St
Ste 106
Bowling Green, KY 42101
Phone (270) 721-7265

421 US 31W Byp
Bowling Green, KY 42101
Phone (270) 782-7768

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

800 Rose St
Rm Hq
Lexington, KY 40536

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Networks

  • KY PPO
  • TN PPO
  • OH PPO
  • KY PPO C-SNP

Organizations & group practices 9

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 6

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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1013328095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511",
            "fax_number": "715-387-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495702",
            "telephone_number": "715-387-5511",
            "fax_number": "715-387-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "TAHIR",
        "middle_name": "MUHAMMAD ABDULLAH",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-13",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "66774",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "53706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

Verify at the official NPI Registry.