NPIMap

Individual provider Active NPI

Raja Muhammad Khan, M.D.

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1124307459
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
86073 Issued in GA
Practice address
535 Coliseum Dr
Macon, GA 31217-0104
Phone
(478) 803-7300
NPI assigned
Aug 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.125999 OH
Internal Medicine Physician 207R00000X 4301098441 MI
Internal Medicine Physician 207R00000X 86073 GA Primary

Addresses

Primary practice location

535 Coliseum Dr
Macon, GA 31217-0104

Mailing address

208 Carriage Way
Macon, GA 31210-8634
Phone (314) 757-9436

Other practice location 1

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-6665

Other practice location 2

2200 Philadelphia Dr Ste 441
Dayton, OH 45406-1840
Phone (937) 734-4690

Other practice location 3

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 551-6489

Other identifiers 1

IdentifierTypeStateIssuer
0131279MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200710001782 GA Practitioner - Internal Medicine 1456584515 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Hospitalist Group LLC 48 clinicians
Cogent Healthcare of Macon, LLC 73 clinicians

Practice addresses (Care Compare)

1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 922-4281

535 Coliseum Dr
Macon, GA 31217-0104
Phone (478) 803-7300

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-7444

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Macon, GA, CCN 117152
  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069
  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001
  • Regency Hospital Company of Macon, LLC Long-term care hospital, Macon, GA, CCN 112016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86073GAMDInternal Medicine Physician
4301098441MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Hospitalist Group LLC CurrentSince Jun 16, 2020 Accepting new patients
Pollux LLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Cogent Healthcare of Macon, LLC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Houston Hospitalist Group LLC Current Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Dec 3, 2024 Accepting new patients
Peach Physician Services, PC Past Accepting new patients
Houston Hospitals Inc Past Accepting new patients
The Medical Center of Central Georgia Inc Past Accepting new patients
Regency Hospital Company of Macon LLC Past Accepting new patients
Samaritan Family Care, Inc. Past Accepting new patients

Locations

1960 Highway 247
Byron, GA 31008
Phone (478) 654-2000

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

535 Coliseum Dr
Macon, GA 31217
Phone (478) 803-7300

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: rkhan834@yourcarecommunity.org

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1124307459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CARRIAGE WAY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108634",
            "telephone_number": "314-757-9436",
            "fax_number": "248-551-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 COLISEUM DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312170104",
            "telephone_number": "478-803-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-395-6665",
            "fax_number": "937-395-6668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Philadelphia Dr Ste 441",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454061840",
            "country_code": "US",
            "telephone_number": "937-734-4690",
            "fax_number": "937-734-4386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-551-6489",
            "fax_number": "248-551-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RAJA",
        "middle_name": "MUHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-04",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.125999",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301098441",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "86073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131279",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.