Active NPI
Rezwan U Khan, M.D.
- Geriatric Psychiatry Physician
- Danville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 4301098822
- Practice address
- 1900 E Main St
Danville, IL 61832-5100 - Phone
- (217) 554-5383
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | T5358 | TX | |
| Geriatric Psychiatry Physician | 2084P0805X | 4301098822 | MI | Primary |
Addresses
Primary practice location
1900 E Main St
Danville, IL 61832-5100
Mailing address
8842 Browns Valley LN
Camby, IN 46113-8821
Phone (317) 856-9886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301098822 | MI | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Psychiatry | Current | Accepting new patients |
| Shahla Ali MD PA | Current | Accepting new patients | |
| Shahla Ali MD PA | Psychiatry | Current | Accepting new patients |
| Home Health Specialists LLC | Past | Accepting new patients |
Locations
1774 W McDermott Dr
Ste 150
Allen, TX 75013
Phone (469) 340-2777
Interoperability endpoints
- rezwankhan@tdh.allscriptsdirect.net
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Advance Home Health Care Services | Home health agency | 5% Or Greater Indirect Ownership Interest (25%) Corporate Director (25%) |
Apr 1, 2025 Apr 1, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Plano, TX
- NPI 1144778846
5% Or Greater Indirect Ownership Interest, Corporate Director
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Allen, TX
- NPI 1841605706
-
- Adult Mental Health Clinic/Center
- Allen, TX
- NPI 1528649365
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Psychiatry
-
- Home Health Agency
- Plano, TX
- NPI 1144778846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1033200985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8842 BROWNS VALLEY LN",
"city": "CAMBY",
"state": "IN",
"postal_code": "461138821",
"telephone_number": "317-856-9886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 E MAIN ST",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618325100",
"telephone_number": "217-554-5383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "REZWAN",
"middle_name": "U",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "T5358",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "MI",
"license": "4301098822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.