Individual provider Active NPI

Tahir A Khan, DPM

  • Podiatrist
  • Milwaukee, WI
National Provider Identifier
1073880936
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1049-25 Issued in WI
Practice address
6001 W Center St Ste 108
Milwaukee, WI 53210-2154
Phone
(414) 808-2911
NPI assigned
Nov 21, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1049-25 WI
Podiatrist 213E00000X 1049-25 WI Primary

Addresses

Primary practice location

6001 W Center St Ste 108
Milwaukee, WI 53210-2154

Mailing address

PO Box 370792
Milwaukee, WI 53237-1892
Phone (414) 808-2911

Other practice location 1

6001 W Center St
Suite 108
Milwaukee, WI 53210-2154
Phone (414) 861-0526

Other identifiers 1

IdentifierTypeStateIssuer
1049-25OtherWIWI LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140922000279 WI Practitioner - Podiatry 9335368513 Reassigns benefits to 1 organization
Practice locations: Milwaukee, WI

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6001 W Ctr St
Suite 108
Milwaukee, WI 53210-2154
Phone (414) 861-0526

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue47
Removal of nail tissue373
Removal or shaving of skin growth360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Best Foot and Ankle Care LLC Podiatrist CurrentSince Mar 29, 2016 Accepting new patients

Locations

6001 W Center St
Ste 108
Milwaukee, WI 53210
Phone (414) 442-1380

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073880936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370792",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532371892",
            "telephone_number": "414-808-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 W CENTER ST STE 108",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102154",
            "telephone_number": "414-808-2911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 W Center St",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532102154",
            "country_code": "US",
            "telephone_number": "414-861-0526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "TAHIR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "1049-25",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "1049-25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI LICENSE",
            "identifier": "1049-25",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.