Individual provider Active NPI

Pervez Ahmad Khan, MBBS

  • Neurological Surgery Physician
  • New Orleans, LA
National Provider Identifier
1023211760
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
321735 Issued in LA
Practice address
1415 Tulane Ave FL 5
New Orleans, LA 70112-2600
Phone
(504) 988-5561
Fax
(504) 988-1731
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 321735 LA Primary

Addresses

Primary practice location

1415 Tulane Ave FL 5
New Orleans, LA 70112-2600

Mailing address

131 S Robertson St Ste 1300
New Orleans, LA 70112-2807
Phone (504) 988-5565

Other practice location 1

4224 Houma Blvd Ste 550
Metairie, LA 70006-2937
Phone (504) 503-7001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20200514001998 LA Practitioner - Neurosurgery 9537590104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Administrators of the Tulane Educational FundGroup PAC ID 0446163760, 388 clinicians

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 988-5800

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Mar 1, 2021 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Mar 1, 2021 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 16, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 16, 2020 Accepting new patients
University Healthcare System, L.C. Past Accepting new patients

Locations

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

4224 Houma Blvd
Ste 540
Metairie, LA 70006
Phone (504) 456-5108

4224 Houma Blvd
Ste 550
Metairie, LA 70006
Phone (504) 454-5213

131 S Robertson St
Ste 1300
New Orleans, LA 70112
Phone (504) 988-3591

1415 Tulane Ave
Fl 5
New Orleans, LA 70112
Phone (504) 988-1001

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1514 Jefferson Hwy
New Orleans, LA 70121

Organizations & group practices 6

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 5

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1023211760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S ROBERTSON ST STE 1300",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122807",
            "telephone_number": "504-988-5565",
            "fax_number": "504-988-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVE FL 5",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122600",
            "telephone_number": "504-988-5561",
            "fax_number": "504-988-1731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4224 Houma Blvd Ste 550",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700062937",
            "country_code": "US",
            "telephone_number": "504-503-7001",
            "fax_number": "504-503-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "PERVEZ",
        "middle_name": "AHMAD",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "LA",
            "license": "321735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.