Individual provider Active NPI

Habib U Khan, M.D.

  • Neurology Physician
  • Casa Grande, AZ
National Provider Identifier
1013987072
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
27915 Issued in AZ
Practice address
1653 E McMurray Blvd
Suite 139
Casa Grande, AZ 85222-2023
Phone
(520) 423-2046
Fax
(520) 423-0208
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 27915 AZ Primary

Addresses

Primary practice location

1653 E McMurray Blvd
Suite 139
Casa Grande, AZ 85222-2023

Mailing address

PO Box 11225
Casa Grande, AZ 85230-1225
Phone (520) 423-2046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050824000734 AZ Practitioner - NeurologyPractitioner - Other (Physician) 0446246375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1653 E McMurray Blvd
Casa Grande, AZ 85122-6010

1653 E McMurray Blvd
Suite 139
Casa Grande, AZ 85122-5934
Phone (520) 523-2046

Hospital & facility affiliations

  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Institute of Neurology & Polysomography P C Neurology CurrentSince May 5, 2003 Accepting new patients
Casa Grande Community Hospital Past Accepting new patients
Regional Care Physicians Grooup Neurology Past Accepting new patients

Locations

675 E Cottonwood Ln
Casa Grande, AZ 85122
Phone (520) 423-2046

1653 E McMurray Blvd
Ste 139
Casa Grande, AZ 85122
Phone (520) 423-2046

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 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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1013987072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11225",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852301225",
            "telephone_number": "520-423-2046",
            "fax_number": "520-423-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 E MCMURRAY BLVD",
            "address_2": "SUITE 139",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852222023",
            "telephone_number": "520-423-2046",
            "fax_number": "520-423-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "HABIB",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "27915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.