Active NPI
Tariq J Khan, MD
- Gastroenterology Physician
- Venice, FL
National Provider Identifier
1013928282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME57290
- Practice address
- 8421 Pointe Loop Dr
Venice, FL 34293 - Phone
- (941) 412-9787
- Fax
- (941) 480-0388
- NPI assigned
- Aug 11, 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME57290 | FL | Primary |
Addresses
Primary practice location
8421 Pointe Loop Dr
Venice, FL 34293
Mailing address
PO Box 1764
Venice, FL 34285
Phone (941) 412-9787
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2870035-016 | Other | FL | CIGNA |
| 00782 | Other | UNIVERSAL | |
| 262101100 | Medicaid | FL | |
| 02625 | Other | BLUE CROSS | |
| 4217880 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8421 Pointe Loop Dr
Venice, FL 34293-2232
Phone (941) 412-9787
Hospital & facility affiliations
- Coastal Breeze Home Health LLC
- Sarasota Memorial Hospital
- HCA Florida Sarasota Doctors Hospital
- Sarasota Memorial Hospital - Venice
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.12 of 100
- Quality
- 84.94
- Improvement activities
- 40
- Cost
- 90.49
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 117 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 119 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Associates of Venice & Englewood P a | Current | Accepting new patients | |
| Center of Surgical Excellence | Past | Accepting new patients |
Locations
8421 Pointe Loop Dr
Venice, FL 34293
Phone (941) 412-2100
420 Tamiami Trl S
Ste 301
Venice, FL 34285
Phone (941) 412-9787
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- gastroenterologyassoveniceandenglewood.tariqkhan@136867.advancedmd-direct.com
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.
-
- Specialist
- Venice, FL
- NPI 1184635385
-
- Ambulatory Surgical Clinic/Center
- Venice, FL
- NPI 1134366370
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Punta Gorda, FL
- NPI 1740867654
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1003862053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281657600000",
"number": "1013928282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1764",
"city": "VENICE",
"state": "FL",
"postal_code": "34285",
"telephone_number": "941-412-9787",
"fax_number": "941-480-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8421 POINTE LOOP DR",
"city": "VENICE",
"state": "FL",
"postal_code": "34293",
"telephone_number": "941-412-9787",
"fax_number": "941-480-0388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "TARIQ",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2010-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME57290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2870035-016",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSAL",
"identifier": "00782",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262101100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "02625",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4217880",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.