Khan Javan Nedd, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301406762 Issued in MI

Practice address

3230 Eagle Park Dr NE
Suite 101
Grand Rapids, MI 49525-7007

Phone

(616) 954-0600

Fax

(616) 954-1675

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Merit-based Incentive Payment System (MIPS)

Final score

91.21 of 100Reported as group

Quality

88.24

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hospitalists of West Michigan PC

  • Infusion Therapy Clinic/Center
  • Grand Rapids, MI
  • NPI 1942334636
  NPD (past) Authorized official
• Infusion Associates of Ohio LLC

  • Infusion Therapy Clinic/Center
  • Toledo, OH
  • NPI 1144966466

  Internal Medicine

  NPD (past) Authorized official
• Creekside Internal Medicine

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1235284076
  NPD (past)
• Inpatient Consultants of Michigan PC

  • Hospitalist Physician
  • Livonia, MI
  • NPI 1861442824

  Internal Medicine

  NPD (past)
• Spectrum Health Hospitals

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1922090554
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1043284219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 EAGLE PARK DR NE",
            "address_2": "SUITE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257007",
            "telephone_number": "616-954-0600",
            "fax_number": "616-954-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 EAGLE PARK DR NE",
            "address_2": "SUITE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257007",
            "telephone_number": "616-954-0600",
            "fax_number": "616-954-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDD",
        "first_name": "KHAN",
        "middle_name": "JAVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301406762",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301406762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abhijeet Nayak
• Matthew Aaron Naylor, CHW
• Ryan Nazareno, MD
• Florence Ndayisenga
• Akunne Ndika, M.D.
• Chloe Suzanne Nederveld
• Sara Elizabeth Neeb, CPRSS
• Katie Marie Needler, NP
• Elnora Neely, LMT
• Neema Home Care

• Internal Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.

Verify at the official NPI Registry.