NPIMap

Individual provider Active NPI

Zeeshaan Khan, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Tulsa, OK
National Provider Identifier
1053520080
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
27364 Issued in OK
Practice address
7600 S Lewis Ave
Suite 1400
Tulsa, OK 74136-6836
Phone
(918) 574-0220
Fax
(918) 574-0229
NPI assigned
May 22, 2007
Last updated
Dec 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 026569 LA
Orthopaedic Surgery of the Spine Physician 207XS0117X 27364 OK Primary

Addresses

Primary practice location

7600 S Lewis Ave
Suite 1400
Tulsa, OK 74136-6836

Mailing address

8803 S 101St East Ave
Ste 100
Tulsa, OK 74133-7546
Phone (918) 574-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20090917000232 OK Practitioner - Orthopedic Surgery 3072669944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

7600 S Lewis Ave
Tulsa, OK 74136-6836
Phone (918) 493-7800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion230
Laminectomy or laminotomy (partial removal of spine bones)67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026569LAMDOrthopaedic Surgery Physician
27364OKMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC Orthopaedic Surgery CurrentSince May 1, 2017 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince May 1, 2017 Accepting new patients
Summit Medical Center Past Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients
Ahs Southcrest Hospital, LLC Past Accepting new patients

Locations

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

7600 S Lewis Ave
Tulsa, OK 74136
Phone (918) 493-2229

7600 S Lewis Ave
Ste 1400
Tulsa, OK 74136
Phone (918) 574-0220

8803 S 101st East Ave
Ste 100
Tulsa, OK 74133
Phone (918) 574-0220

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: zkhan106969@ahs.direct-ci.com

Organizations & group practices 6

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1053520080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE",
            "address_2": "STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337546",
            "telephone_number": "918-574-0220",
            "fax_number": "918-574-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 S LEWIS AVE",
            "address_2": "SUITE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366836",
            "telephone_number": "918-574-0220",
            "fax_number": "918-574-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ZEESHAAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "026569",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "OK",
            "license": "27364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.