Endocrine Services PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

DR37853 Issued in CO

Legal business name

ENDOCRINE SERVICES PC

Doing business as

AGHA BABER KHAN MD PC

Practice address

1303 Fortino Blvd Ste a
Pueblo, CO 81008-2032

Phone

(719) 544-0052

NPI assigned

Dec 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Agha Baber Khan, MDNPI 1649336546

Title

Physician Owner

Phone

(719) 582-0477

Specialties & licenses 1

Addresses

Other names 1

• AGHA BABER KHAN MD PC Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Agha Baber Khan

  • Endocrinology, Diabetes & Metabolism Physician
  • Pueblo, CO
  • NPI 1649336546
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1114221504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810020659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 FORTINO BLVD STE A",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082032",
            "telephone_number": "719-544-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AGHA",
        "authorized_official_middle_name": "BABER",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "719-582-0477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CO",
            "license": "DR37853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGHA BABER KHAN MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Elinor Enderle, RD
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• Endocrinology, Diabetes & Metabolism Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Endocrinology, Diabetes & Metabolism Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.