Active NPI
Razu Khan, NP
- Family Nurse Practitioner
- Knightdale, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- KHAN-YVB7H
- Practice address
- 7201 US Highway 64 E
Knightdale, NC 27545-9268 - Phone
- (919) 266-7600
- NPI assigned
- Apr 1, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F02211095 | NC | |
| Family Nurse Practitioner | 363LF0000X | KHAN-YVB7H | NC | Primary |
Addresses
Primary practice location
7201 US Highway 64 E
Knightdale, NC 27545-9268
Mailing address
473 Seastone St
Raleigh, NC 27603-3192
Other practice location 1
4505 Fair Meadows Ln Ste 101
Raleigh, NC 27607-6449
Phone (919) 787-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F02211095 | NC | MD | Family Nurse Practitioner |
| KHAN-YVB7H | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Minuteclinic Diagnostic of North Carolina PC | Family | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Past | Accepting new patients |
Locations
5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
6301 Herndon Rd
Durham, NC 27713
Phone (919) 620-5333
7201 US Highway 64 E
Knightdale, NC 27545
Phone (919) 266-7600
6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- rkhan219784@direct.medicine.duke.edu
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 and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
-
- Family Nurse Practitioner
- Raleigh, NC
- NPI 1699748608
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
- Internal Medicine Physician
- Durham, NC
- NPI 1376574798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1114505757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 SEASTONE ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276033192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7201 US HIGHWAY 64 E",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275459268",
"telephone_number": "919-266-7600"
}
],
"practiceLocations": [
{
"address_1": "4505 Fair Meadows Ln Ste 101",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276076449",
"country_code": "US",
"telephone_number": "919-787-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "RAZU",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-01",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "F02211095",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "KHAN-YVB7H",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.