Mehernosh Pheroze Khan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD038265L Issued in PA

Practice address

631B North Street
Pittsfield, MA 01201-4109

Phone

(413) 499-2054

Fax

(413) 445-9174

NPI assigned

Oct 26, 2005

Last updated

May 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mehernoshkhan@bfs.medalliesdirect.net

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.

• Berkshire Faculty Services Inc

  • Multi-Specialty Clinic/Center
  • Pittsfield, MA
  • NPI 1548212939
  Medicare reassignment NPD
• Fairview Hospital

  dba East Mountain Medical

  • Rural Health Clinic/Center
  • Great Barrington, MA
  • NPI 1881252286
  NPD
• Hillcrest Extended Care Services, Inc

  dba Hillcrest Commons

  • Skilled Nursing Facility
  • Pittsfield, MA
  • NPI 1992889786
  NPD (past)
• Health Services for Women, PC

  • Obstetrics & Gynecology Physician
  • Ardara, PA
  • NPI 1437179645
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1083604433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PITTSFILED RD",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "01240",
            "telephone_number": "413-344-1700",
            "fax_number": "413-728-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631B NORTH STREET",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-499-2054",
            "fax_number": "413-445-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MEHERNOSH",
        "middle_name": "PHEROZE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD038265L",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MA",
            "license": "25344",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110093827A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008041750009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Glenn Kenyon, LMFT
• Erin K Kern-Egan, LICSW
• Carrie Kersavage
• Saba Khalid, MD
• Areej Idrees Khan, MD
• Rachel Zareen Khan, MD
• KHM Therapy, LLC
• Amy Kie-Burdick, MT-BC
• Kevin Killeen, M.D.
• Carol A Killian, LMHC

• Family Medicine Physician in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.