Active NPI
Usman Hanif Khan, MD
- Neurological Surgery Physician
- West Palm Beach, FL
National Provider Identifier
1104835875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME147601
- Practice address
- 901 Village Blvd Ste 702
West Palm Beach, FL 33409 - Phone
- (561) 882-6214
- Fax
- (561) 882-6216
- NPI assigned
- Aug 5, 2006
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 42026 | KY | |
| Neurology Physician | 2084N0400X | EMC0000655 | MI | |
| Neurology Physician | 2084N0400X | 35.097498 | OH | |
| Vascular Neurology Physician | 2084V0102X | DR.0058097 | CO | |
| Vascular Neurology Physician | 2084V0102X | 35.097498 | OH | |
| Vascular Neurology Physician | 2084V0102X | 37755 | OK | |
| Neurological Surgery Physician | 207T00000X | ME147601 | FL | Primary |
Addresses
Primary practice location
901 Village Blvd Ste 702
West Palm Beach, FL 33409
Mailing address
901 Village Blvd Ste 702
West Palm Beach, FL 33409-1947
Phone (561) 882-6214
Other practice location 1
2222 N Nevada Ave
Ste 5001
Colorado Springs, CO 80907-6819
Phone (719) 776-3580
Other practice location 2
800 NW 9th St Ste 100
Oklahoma City, OK 73106-7248
Phone (405) 815-5050
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100067550 | Medicaid | KY | |
| 109555500 | Medicaid | FL | |
| 000000627001 | Other | KY | ANTHEM |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP735 | KY | MD | Family Medicine Physician |
| 42026 | KY | MD | Neurology Physician |
| DR.0058097 | CO | MD | Vascular Neurology Physician |
| 35.097498 | OH | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| University Neurologists PSC | Neurology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Neurology Physician
- Louisville, KY
- NPI 1417906215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1104835875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 VILLAGE BLVD STE 702",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334091947",
"telephone_number": "561-882-6214",
"fax_number": "561-882-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 VILLAGE BLVD STE 702",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33409",
"telephone_number": "561-882-6214",
"fax_number": "561-882-6216"
}
],
"practiceLocations": [
{
"address_1": "2222 N Nevada Ave",
"address_2": "Ste 5001",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809076819",
"country_code": "US",
"telephone_number": "719-776-3580",
"fax_number": "719-776-3599",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 NW 9th St Ste 100",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731067248",
"country_code": "US",
"telephone_number": "405-815-5050",
"fax_number": "405-815-5051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "USMAN",
"middle_name": "HANIF",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KY",
"license": "42026",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "EMC0000655",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35.097498",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "CO",
"license": "DR.0058097",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "OH",
"license": "35.097498",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "OK",
"license": "37755",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME147601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100067550",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109555500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000627001",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.