Active NPI
Shaheen Khan, M.D.
- Internal Medicine Physician
- Morganton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 200100719
- Practice address
- 2201 S Sterling St
Morganton, NC 28655-4044 - Phone
- (828) 580-6753
- Fax
- (828) 580-6759
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 200100719 | NC | |
| Internal Medicine Physician | 207R00000X | 200100719 | NC | Primary |
Addresses
Primary practice location
2201 S Sterling St
Morganton, NC 28655-4044
Mailing address
4158 2ND St NW
Hickory, NC 28601-8091
Phone (828) 391-7641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013939446 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2450
557 Brookdale Dr
Statesville, NC 28677-4107
Phone (704) 873-5661
660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799
Hospital & facility affiliations
- Caromont Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200100719 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Optimed Hospitalists | Internal Medicine | Current | Accepting new patients |
| Optimed Hospitalists | Hospitalist | Current | Accepting new patients |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Caromont Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Caromont Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Carolina Inpatient Medical Specialists, PLLC | Hospitalist | Past | Accepting new patients |
| Wakemed Faculty Practice Plan | Hospitalist | Past | Accepting new patients |
| Fryecare Physicians , LLC | Past | Accepting new patients | |
| Wakemed Faculty Practice Plan | Family Medicine | Past | Accepting new patients |
Locations
660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799
810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000
557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
- Hospitalist Physician
- Statesville, NC
- NPI 1235449125
-
- Obstetrics & Gynecology Physician
- Gastonia, NC
- NPI 1679863732
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
- Obstetrics Physician
- Hickory, NC
- NPI 1285929554
-
- Internal Medicine Physician
- Davidson, NC
- NPI 1477942613
-
- Hospitalist Physician
- Morganton, NC
- NPI 1700027802
-
- Pulmonary Disease Physician
- Hickory, NC
- NPI 1659774503
-
- Pediatric Critical Care Medicine Physician
- Raleigh, NC
- NPI 1013203819
Hospitalist
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512950400000",
"number": "1013939446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4158 2ND ST NW",
"city": "HICKORY",
"state": "NC",
"postal_code": "286018091",
"telephone_number": "828-391-7641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 S STERLING ST",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554044",
"telephone_number": "828-580-6753",
"fax_number": "828-580-6759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "SHAHEEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2017-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "200100719",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "200100719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013939446",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.