NPIMap

Individual provider Active NPI

Aman Shabi Khan, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Daly City, CA
National Provider Identifier
1093721672
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A60839 Issued in CA
Practice address
1850 Sullivan Ave
Suite 330
Daly City, CA 94015-2223
Phone
(650) 756-5630
Fax
(650) 756-0136
NPI assigned
Aug 1, 2006
Last updated
Dec 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A60839 CA Primary

Addresses

Primary practice location

1850 Sullivan Ave
Suite 330
Daly City, CA 94015-2223

Mailing address

1850 Sullivan Ave
Suite 330
Daly City, CA 94015-2223
Phone (650) 756-5630

Other identifiers 5

IdentifierTypeStateIssuer
ZZZ32209ZOtherCAGROUP MEDICARE
0208450001OtherCAMEDICARE NSC GROUP
A60839OtherCASTATE
200046337OtherCAMEDICARE RAILROAD
00A608390MedicaidCA

Other names 1

  • Aman Qadeer Khan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100210000357 CA Practitioner - Orthopedic Surgery 9638212897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, San Francisco School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peninsula Orthopedic Associates IncGroup PAC ID 7719974336, 18 clinicians

Practice addresses (Care Compare)

1850 Sullivan Ave
Daly City, CA 94015-2204
Phone (650) 756-5630

455 Hickey Blvd
Suite 205
Daly City, CA 94015-2630
Phone (650) 756-5630

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
38.9 of 100Reported as individual
Quality
25.82
Promoting interoperability
0
Improvement activities
20
Cost
76.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)36
Upper limb (arm) arthroscopy (minimally invasive joint repair)179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60839CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Orthopedic Associates, Inc. Sports Medicine CurrentSince Aug 16, 2002 Accepting new patients
Sequoia Health Services Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Seton Medical Center Past Accepting new patients

Locations

1850 Sullivan Ave
Ste 330
Daly City, CA 94015
Phone (650) 756-5630

901 Campus Dr
Ste 107
Daly City, CA 94015

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: peninsulaorthopedicassociates.amanshabikhan@156663.advancedmd-direct.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1093721672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE",
            "address_2": "SUITE 330",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152223",
            "telephone_number": "650-756-5630",
            "fax_number": "650-756-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE",
            "address_2": "SUITE 330",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152223",
            "telephone_number": "650-756-5630",
            "fax_number": "650-756-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AMAN",
        "middle_name": "SHABI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A60839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "ZZZ32209Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC GROUP",
            "identifier": "0208450001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "A60839",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "200046337",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A608390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMAN",
            "last_name": "KHAN",
            "middle_name": "QADEER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.