Individual provider Active NPI

Iftikhar Abrar Khan, M. D.

  • Cardiovascular Disease Physician
  • Montebello, CA
National Provider Identifier
1114095098
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A 36824 Issued in CA
Practice address
101 E Beverly Blvd
Suite # 406
Montebello, CA 90640-4300
Phone
(323) 725-3099
Fax
(323) 725-2998
NPI assigned
Dec 1, 2006
Last updated
Oct 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A 36824 CA
Cardiovascular Disease Physician 207RC0000X A 36824 CA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A 36824 CA
Interventional Cardiology Physician 207RI0011X A 36824 CA

Addresses

Primary practice location

101 E Beverly Blvd
Suite # 406
Montebello, CA 90640-4300

Mailing address

101 E Beverly Blvd
Suite # 406
Montebello, CA 90640-4300
Phone (323) 725-3099

Other identifiers 1

IdentifierTypeStateIssuer
00A368241MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20080206000429 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9638252216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Critical Care (Intensivists), Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 E Beverly Blvd
Suite 406
Montebello, CA 90640-4317
Phone (323) 725-3099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
41.45 of 100Reported as individual
Quality
29.91
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A 36824CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iftikhar a. Khan M.D., Inc. Internal Medicine CurrentSince Jun 1, 1997 Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Alta Los Angeles Hospital, Inc Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients

Locations

101 E Beverly Blvd
Ste 406
Montebello, CA 90640
Phone (213) 460-3636

101 E Beverly Blvd
Ste 301
Montebello, CA 90640
Phone (323) 725-3099

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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 2

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1114095098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD",
            "address_2": "SUITE # 406",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404300",
            "telephone_number": "323-725-3099",
            "fax_number": "323-725-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD",
            "address_2": "SUITE # 406",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404300",
            "telephone_number": "323-725-3099",
            "fax_number": "323-725-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "IFTIKHAR",
        "middle_name": "ABRAR",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A 36824",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A 36824",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A 36824",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A 36824",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A368241",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.