NPIMap

Individual provider Active NPI

Muneer Ahmad Khan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Oklahoma City, OK
National Provider Identifier
1073504684
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
27320 Issued in OK
Practice address
4345 W Memorial Rd
Suite 110
Oklahoma City, OK 73134-1702
Phone
(405) 951-4160
Fax
(405) 951-4162
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 27320 OK Primary

Addresses

Primary practice location

4345 W Memorial Rd
Suite 110
Oklahoma City, OK 73134-1702

Mailing address

4345 W Memorial Rd
Suite 110
Oklahoma City, OK 73134-1702
Phone (405) 951-4160

Other identifiers 1

IdentifierTypeStateIssuer
51532859MedicaidNM

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
I20110121000467 OK Practitioner - EndocrinologyPractitioner - Internal Medicine 7214968833 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spectrum Healthcare Solutions, PLLC 18 clinicians
Mercy Clinic Oklahoma Communities 645 clinicians

Practice addresses (Care Compare)

4220 N Classen Blvd
Suite a
Oklahoma City, OK 73118-2416
Phone (405) 768-5749

4300 McAuley Blvd
Oklahoma City, OK 73120-8302
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

4345 W Memorial Rd
Suite 110
Oklahoma City, OK 73134-1717
Phone (405) 418-7000

Hospital & facility affiliations

  • Signature Hospice LLC Hospice, Midwest City, OK, CCN 371737
  • Cura-HPC Edmond Hospice, Oklahoma City, OK, CCN 371728
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094
  • Mercy Hospital Logan County Hospital, Guthrie, OK, CCN 371317
  • Mercy Hospital Kingfisher, Inc Hospital, Kingfisher, OK, CCN 371313
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • Inspire Specialty Hospital Long-term care hospital, Midwest City, OK, CCN 372012
  • Heritage Park Nursing home, Bethany, OK, CCN 375511
  • Accel At Crystal Park Nursing home, Oklahoma City, OK, CCN 375570
  • Ranchwood Nursing Center Nursing home, Yukon, OK, CCN 375229
  • Edmond Health Care Center Nursing home, Edmond, OK, CCN 375483
  • Oak Hills Living Center Nursing home, Jones, OK, CCN 375117

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities CurrentSince Oct 1, 2013 Accepting new patients
Spectrum Healthcare Solutions, PLLC CurrentSince Jul 31, 2018 Accepting new patients
Landmark of Midwest City Rehabilitation and Nursing Center, LLC Past Accepting new patients
IHS Acquisition No 168 Inc Past Accepting new patients
PF Crystal Park SNF Ops, LLC Past Accepting new patients
Younge and Crane Inc Past Accepting new patients
North Winds Living Center Inc Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Oak Hills Care Center Receivership , LLC Past Accepting new patients
PF South Yukon SNF Ops, LLC Past Accepting new patients
Landmark of Midwest City Specialty Hospital, LLC Past Accepting new patients
Northwinds Health Management, LLC Past Accepting new patients
C and Y Mangement Company Inc Past Accepting new patients
Heritage Park Management LLC Past Accepting new patients
Heritage Manor Management, LLC Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4220 N Classen Blvd
Ste A
Oklahoma City, OK 73118
Phone (405) 768-5749

4345 W Memorial Rd
Ste 110
Oklahoma City, OK 73134
Phone (405) 749-7099

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

8210 National Ave
Oklahoma City, OK 73110
Phone (405) 737-8200

315 SW 80th St
Oklahoma City, OK 73139
Phone (214) 272-2774

Interoperability endpoints

  • Direct secure messaging: mkhan387258@directc.mercy.net
  • Direct secure messaging: mkhan215417@direct.integrisok.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Edmond Health Care CenterEdmond, OK, CCN 375483 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 28, 2025
May 28, 2025
Heritage ParkBethany, OK, CCN 375511 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2024
Apr 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1073504684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 W MEMORIAL RD",
            "address_2": "SUITE 110",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341702",
            "telephone_number": "405-951-4160",
            "fax_number": "405-951-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 W MEMORIAL RD",
            "address_2": "SUITE 110",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341702",
            "telephone_number": "405-951-4160",
            "fax_number": "405-951-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUNEER",
        "middle_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OK",
            "license": "27320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51532859",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.