NPIMap

Individual provider Active NPI

Farhan Khan, MD

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1023081742
Registry record updated Oct 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301061370 Issued in MI
Practice address
3433 Fenton Rd
Flint, MI 48507
Phone
(810) 235-1331
Fax
(810) 235-8656
NPI assigned
Feb 13, 2006
Last updated
Oct 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301061370 MI Primary

Addresses

Primary practice location

3433 Fenton Rd
Flint, MI 48507

Mailing address

6122 W Pierson Rd Unit 5
Flushing, MI 48433-3104
Phone (810) 732-4007

Other identifiers 1

IdentifierTypeStateIssuer
4377717MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812000274 MI Practitioner - Internal Medicine 1557333234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
F Khan MD PCGroup PAC ID 9335296052, 3 clinicians

Practice addresses (Care Compare)

3433 Fenton Rd
Flint, MI 48507-1577
Phone (810) 235-1331

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
F Khan MD PC Internal Medicine CurrentSince Jan 15, 2002 Accepting new patients
Flushing SNF Operations LLC Past Accepting new patients
Asif Ishaque MD PC Internal Medicine Past Accepting new patients

Locations

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

3433 Fenton Rd
Flint, MI 48507
Phone (810) 233-5133

6045 W Pierson Rd
Flushing, MI 48433
Phone (810) 235-1331

Interoperability endpoints

  • Direct secure messaging: farhan.khan@fkmd.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICHEAD/Endpoint/ICHEAD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601769600000",
    "number": "1023081742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6122 W PIERSON RD UNIT 5",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484333104",
            "telephone_number": "810-732-4007",
            "fax_number": "810-732-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 FENTON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-235-1331",
            "fax_number": "810-235-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FARHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301061370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4377717",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.