Mazhar Ahmed Khan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q4614 Issued in TX

Practice address

801 N State St
Greenfield, IN 46140-1270

Phone

(317) 462-5544

Fax

(317) 468-6268

NPI assigned

Mar 30, 2012

Last updated

Mar 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 IN

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

Specialty

Family Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Indiana-Amg Specialty Hospital, LLCGroup PAC ID 5991960668, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hancock Regional Hospital Hospital, Greenfield, IN, CCN 150037
• Central Indiana Amg Specialty Hospital LLC Long-term care hospital, Muncie, IN, CCN 152025

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mazhar.khan@58699484823556.direct.elationemr.com

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.

• Central Indiana-Amg Specialty Hospital, LLC

  • Long Term Care Hospital
  • Muncie, IN
  • NPI 1962761379
  Medicare reassignment Care Compare group NPD
• Impact Physician Group, LLC

  • Internal Medicine Physician
  • Peachtree City, GA
  • NPI 1114428612

  IN

  Medicare reassignment NPD
• Hancock Regional Hospital

  • Surgery Physician
  • Greenfield, IN
  • NPI 1114016987
  NPD (past)

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

• Central Indiana-Amg Specialty Hospital, LLC

  • Long Term Care Hospital
  • Muncie, IN
  • NPI 1962761379

  Long-term care hospital

  Care Compare affiliation
• Hancock Regional Hospital

  • General Acute Care Hospital
  • Greenfield, IN
  • NPI 1467485003
  Care Compare affiliation

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1063788370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL SQ STE 50",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401357",
            "telephone_number": "317-468-6270",
            "fax_number": "317-468-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N STATE ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401270",
            "telephone_number": "317-462-5544",
            "fax_number": "317-468-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MAZHAR",
        "middle_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q4614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Keeylen
• Lauren Christine Kelly, RN
• Tiffany Sue Kelly, M.S. CCC-SLP
• Lillith A Kenney
• Shelley E Kestler, R.N
• Theresa Kidd
• Ana Michelle Kiely, WHNP-BC
• Jason R Kimble
• Barbara Ann Kindler, M.A., CCC/SLP
• Kelli Kingen

• Family Medicine Physician in Greenfield, IN
• Providers in Greenfield, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.