NPIMap

Individual provider Active NPI

Abdul Q Khan, MD, MPM

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1053349480
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD058954L Issued in PA
Practice address
200 Penn Ave
Pittsburgh, PA 15221-2156
Phone
(412) 242-8860
Fax
(412) 242-8863
NPI assigned
Jun 28, 2006
Last updated
Nov 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD058954L PA Primary

Addresses

Primary practice location

200 Penn Ave
Pittsburgh, PA 15221-2156

Mailing address

200 Penn Ave
Pittsburgh, PA 15221-2156
Phone (412) 242-8860

Other identifiers 1

IdentifierTypeStateIssuer
1675081MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091211000492 PA Practitioner - Internal Medicine 8527107572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Penn Ave
Pittsburgh, PA 15221-2156
Phone (412) 242-8860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.43 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
51.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD058954LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Khan Medical Associates LLC Internal Medicine CurrentSince Oct 1, 2002 Accepting new patients
Emergency Medicine Physicians of Alle-Kiski, LTD Past Accepting new patients
Allegheny Medical Practice Network Past Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Presbyterian Shadyside Past Accepting new patients
Upmc East Past Accepting new patients
Compassionate Care Hospice of Pittsburgh, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

200 Penn Ave
Pittsburgh, PA 15221
Phone (412) 242-8860

221 Penn Ave
Ste 1000
Wilkinsburg, PA 15221
Phone (412) 242-8860

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1053349480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212156",
            "telephone_number": "412-242-8860",
            "fax_number": "412-242-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212156",
            "telephone_number": "412-242-8860",
            "fax_number": "412-242-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABDUL",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "MD, MPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD058954L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1675081",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.