Individual provider Active NPI

Tanweer H. Khan, M.D.

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
National Provider Identifier
1093798365
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
36688 Issued in CO
Practice address
6005 Delmonico Dr
Suite 180
Colorado Springs, CO 80919-2237
Phone
(719) 542-7891
NPI assigned
Nov 21, 2005
Last updated
Nov 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 36688 CO Primary

Addresses

Primary practice location

6005 Delmonico Dr
Suite 180
Colorado Springs, CO 80919-2237

Mailing address

PO Box 973357
Dallas, TX 75397-3357

Other identifiers 1

IdentifierTypeStateIssuer
31789013MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36688COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cher, LLC Diagnostic Radiology PastSince Jan 14, 2002 Accepting new patients
Greeley Xray Group PC Past Accepting new patients
Schryver Medical Sales and Marketing Inc. Past Accepting new patients
New Schryver LLC Past Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology PastSince Jun 19, 2021 Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1093798365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 973357",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753973357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 DELMONICO DR",
            "address_2": "SUITE 180",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192237",
            "telephone_number": "719-542-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "TANWEER",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "36688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31789013",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.