Active NPI
Abdul Baset Khan, MD
- Neurology Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 14629R
- Practice address
- 9001 Summa Ave
Baton Rouge, LA 70809-3726 - Phone
- (225) 761-5200
- Fax
- (225) 761-5654
- NPI assigned
- Nov 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 14629R | LA | Primary |
Addresses
Primary practice location
9001 Summa Ave
Baton Rouge, LA 70809-3726
Mailing address
9001 Summa Ave
Baton Rouge, LA 70809-3726
Phone (225) 761-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1129950 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100305000829 | LA | Practitioner - Neurology | 1355486986 | Reassigns benefits to 1 organization |
| I20190423000918 | TX | Practitioner - Neurology | 1355486986 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Utmb Faculty Group PracticeDynamic Anesthesia Providers, PLLC
Practice addresses (Care Compare)
2240 Gulf Fwy S
Suite 3.704
League City, TX 77573-5143
Phone (832) 505-1234
6306 Gulfton St
Suite 203
Houston, TX 77081-1117
Phone (281) 888-7289
Hospital & facility affiliations
- University of Texas Medical Branch Galveston
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14629R | LA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Utmb Faculty Group Practice | Neurology | Current | Accepting new patients |
| Talis Healthcare LLC | Past | Accepting new patients | |
| University of Texas Medical Branch at Galveston | Past | Accepting new patients | |
| Texoma Neurology Associates, PA | Neurology | Past | Accepting new patients |
Locations
9001 Summa Ave
Baton Rouge, LA 70809
10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
2240 Gulf Fwy S
Ste 3704
League City, TX 77573
Phone (832) 505-1234
6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095
250 Blossom St
Fl 4
Webster, TX 77598
Phone (409) 772-3695
Organizations & group practices 8
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.
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Baton Rouge, LA
- NPI 1992065122
-
- Clinic/Center
- Houston, TX
- NPI 1821594060
-
- Community/Retail Pharmacy
- Friendswood, TX
- NPI 1699532861
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1033286166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 SUMMA AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093726",
"telephone_number": "225-761-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 SUMMA AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093726",
"telephone_number": "225-761-5200",
"fax_number": "225-761-5654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ABDUL",
"middle_name": "BASET",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "LA",
"license": "14629R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1129950",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.