Individual provider Active NPI

Razu Khan, NP

  • Family Nurse Practitioner
  • Knightdale, NC
National Provider Identifier
1114505757
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
KHAN-YVB7H Issued in NC
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

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211018002893 NC Practitioner - Nurse Practitioner 3072911361 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F02211095NCMDFamily Nurse Practitioner
KHAN-YVB7HNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Oct 15, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 2, 2022 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Sep 1, 2021 Accepting new patients
Duke University Health System, Inc. CurrentSince Oct 15, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.