Saad Z Khan, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

100259 Issued in MO

Practice address

777 Craig Rd Ste 130
Creve Coeur, MO 63141-7133

Phone

(314) 872-7792

Fax

(314) 872-5655

NPI assigned

Aug 16, 2005

Last updated

Mar 18, 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

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

Psychiatry

Education

Other, 1987

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

West County Physicians, LLCGroup PAC ID 9032507579, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skhan100359@directc.mercy.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.

• West County Physicians, LLC

  • Psychiatry Physician
  • Creve Coeur, MO
  • NPI 1518586932
  Medicare reassignment Care Compare group NPD
• Midwest Pulmonary and Critical Care Consultants Inc

  • Pulmonary Disease Physician
  • Saint Louis, MO
  • NPI 1023138369
  NPD

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1093707218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CRAIG RD STE 130",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417133",
            "telephone_number": "314-872-7792",
            "fax_number": "314-872-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CRAIG RD STE 130",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417133",
            "telephone_number": "314-872-7792",
            "fax_number": "314-872-5655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 S New Ballas Rd",
            "address_2": "Suite 268 A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418232",
            "country_code": "US",
            "telephone_number": "314-872-7792",
            "fax_number": "314-251-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAAD",
        "middle_name": "Z",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "100259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207083205",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "5672",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis J Keithly, MD
• Breanna Lynn Keller, MSCCC-SLP
• Allison Kelley, OTR/L
• Robert Francis Kelly, PA-C
• Nancy Ketring Kennedy, O.D.
• Sunna Khan, MD
• Aisha Khorana, M.ED., PLPC
• Johnny Kim, LCSW
• Emily Michelle Kimbel, M.A., CCC-SLP
• Erin Ann Kimmins, DPT

• Psychiatry Physician in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.