Mohammad Y Khan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MK059642 Issued in MI

Practice address

5821 Colony Dr N
Saginaw, MI 48603-5716

Phone

(989) 797-1051

Fax

(989) 797-1047

NPI assigned

Jun 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mohammadkhan@pmi.allscriptsdirect.net

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.

• Covenant Medical Center, Inc.

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946
  NPD (past)
• Saginaw Valley Pediatrics PLLC

  • Pediatrics Physician
  • Saginaw, MI
  • NPI 1942903810
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1033116512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 COLONY DR N",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486035716",
            "telephone_number": "989-797-1051",
            "fax_number": "989-797-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 COLONY DR N",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486035716",
            "telephone_number": "989-797-1051",
            "fax_number": "989-797-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "MK059642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4181076",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS OF MICHIGAN",
            "identifier": "0987219",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mohammadkhan@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5821 Colony Dr N",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486035716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arif Khalid Khan, M.D.
• Asif Hayat Khan, M.D.
• Ayesha Khan, M.D.
• Iftikhar A Khan, M.D.
• Jahangir H Khan, MD
• Muhammad A Khan, MD
• Muhammad Umar Khan, M.D.
• Sadia Khan, MD
• Shaukat A Khan, MD
• Waqas Mohammad Khan, MD

• Pediatrics Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.