NPIMap

Individual provider Active NPI

Ansar U Khan, MD

  • Urology Physician
  • Fremont, NE
National Provider Identifier
1093794935
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
15471 Issued in NE
Practice address
2735 N Clarkson St
Fremont, NE 68025
Phone
(402) 727-5000
Fax
(402) 727-5055
NPI assigned
Jan 10, 2006
Last updated
May 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 15471 NE Primary

Addresses

Primary practice location

2735 N Clarkson St
Fremont, NE 68025

Mailing address

2735 N Clarkson St
Fremont, NE 68025
Phone (402) 727-5000

Other identifiers 1

IdentifierTypeStateIssuer
47063180113MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20100817001224 NE Practitioner - Urology 9335114842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Center PCGroup PAC ID 2961396833, 43 clinicians

Practice addresses (Care Compare)

10707 Pacific St
Suite 101
Omaha, NE 68114-4762
Phone (402) 397-7989

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as apm
Quality
82.13
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Center PC Urology Current Accepting new patients
Urology Center PC Urology CurrentSince Jul 1, 2025 Accepting new patients
Adult & Pediatric Urology, PC Urology CurrentSince Jun 1, 2021 Accepting new patients
Urology Center PC Urology CurrentSince Jun 1, 2021 Accepting new patients
Alegent Creighton Clinic PastSince Sep 15, 2026 Accepting new patients

Locations

2735 N Clarkson St
Fremont, NE 68025
Phone (402) 727-5000

2735 N Clarkson St
Ste 2
Fremont, NE 68025
Phone (402) 205-8664

10707 Pacific St
Ste 100
Omaha, NE 68114
Phone (402) 399-7817

10707 Pacific St
Ste 101
Omaha, NE 68114
Phone (402) 397-9800

111 S 90th St
Omaha, NE 68114
Phone (402) 397-7178

Interoperability endpoints

  • Direct secure messaging: ansar.khan.p1@direct.tuc.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/7144/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 6

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1093794935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "68025",
            "telephone_number": "402-727-5000",
            "fax_number": "402-727-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "68025",
            "telephone_number": "402-727-5000",
            "fax_number": "402-727-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ANSAR",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NE",
            "license": "15471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47063180113",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.