Active NPI
Shahwar Khan, MD
- Family Medicine Physician
- Allen Park, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301115946
- Practice address
- 17500 Federal Dr
Allen Park, MI 48101-3652 - Phone
- (313) 982-1370
- Fax
- (313) 982-1376
- NPI assigned
- May 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301115946 | MI | Primary |
Addresses
Primary practice location
17500 Federal Dr
Allen Park, MI 48101-3652
Mailing address
17500 Federal Dr
Allen Park, MI 48101-3652
Phone (313) 982-1370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, NE, KS, IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301115946 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a. | Current | Accepting new patients | |
| American Current Care of Kansas PA | Current | Accepting new patients | |
| American Current Care of Kansas PA | Current | Accepting new patients | |
| American Current Care of Kansas PA | Current | Accepting new patients | |
| American Current Care of Kansas PA | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| American Current Care of Illinois PC | Current | Accepting new patients |
Locations
3540 E 46th St
Davenport, IA 52807
Phone (563) 359-1170
2100 Dixon St
Ste E
Des Moines, IA 50316
Phone (515) 265-1020
10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590
555 Valley View Dr
Moline, IL 61265
Phone (309) 764-9675
14809 W 95th St
Lenexa, KS 66215
Phone (913) 894-6664
6401 E Front St
Kansas City, MO 64120
Phone (816) 241-0603
83 Progress Pkwy
Maryland Hts, MO 63043
Phone (314) 434-8174
5506 Corporate Dr
Ste 1700
Saint Joseph, MO 64507
Phone (816) 671-4880
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Kansas City, MO
- NPI 1295131324
-
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1114323243
-
- Urgent Care Clinic/Center
- Maryland Heights, MO
- NPI 1922404052
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1093193971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17500 FEDERAL DR",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481013652",
"telephone_number": "313-982-1370",
"fax_number": "313-982-1376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17500 FEDERAL DR",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481013652",
"telephone_number": "313-982-1370",
"fax_number": "313-982-1376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "SHAHWAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-12",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301115946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.