Individual provider Active NPI

Mustafa Sardar Khan, M.D.

  • Diagnostic Radiology Physician
  • Raleigh, NC
National Provider Identifier
1124331582
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2015-00928 Issued in NC
Practice address
3200 Blue Ridge Rd Ste 100
Raleigh, NC 27612-8087
Phone
(919) 781-1437
Fax
(919) 787-4870
NPI assigned
Jul 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2015-00928 NC Primary
Diagnostic Radiology Physician 2085R0202X 0101271029 VA

Addresses

Primary practice location

3200 Blue Ridge Rd Ste 100
Raleigh, NC 27612-8087

Mailing address

5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone (540) 493-4581

Other practice location 1

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 200-5047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, HI, SC, VA, OH5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20160812000012 NC Practitioner - Diagnostic Radiology 6002047412 Reassigns benefits to 6 organizations
I20200923002161 HI Practitioner - Diagnostic Radiology 6002047412 Reassigns benefits to 1 organization
I20210316000748 SC Practitioner - Diagnostic Radiology 6002047412 Reassigns benefits to 1 organization
I20210316001177 VA Practitioner - Diagnostic Radiology 6002047412
I20260528004069 OH Practitioner - Diagnostic Radiology 6002047412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

1701 Minley Way
Apex, NC 27502-5776
Phone (888) 522-4514

Hospital & facility affiliations

  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072
  • Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.55 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Jun 9, 2025 Accepting new patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince Aug 18, 2025 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Jun 2, 2025 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Jun 2, 2025 Accepting new patients
Raleigh Radiology, LLC Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Aug 3, 2025 Accepting new patients

Locations (25 of 39)

150 Parkway Office Ct
Ste 100
Cary, NC 27518

6135 Park South Dr
Ste 539
Charlotte, NC 28210
Phone (704) 661-3985

3200 Blue Ridge Rd
Ste 100
Raleigh, NC 27612
Phone (919) 256-3576

5220 Greens Dairy Rd
Raleigh, NC 27616
Phone (540) 493-4581

1121 Situs Ct
Ste 170
Raleigh, NC 27606
Phone (919) 834-2767

3900 Barrett Dr
Ste 100
Raleigh, NC 27609
Phone (919) 787-8815

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

11640 Northpark Dr
Ste 110
Wake Forest, NC 27587

604 W North Ave
Ada, OH 45810
Phone (419) 634-0431

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

625 W Waterloo St
Canal Winchester, OH 43110
Phone (614) 355-3400

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

1404 E 2nd St
Defiance, OH 43512
Phone (567) 368-1008

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211

Interoperability endpoints

  • Direct secure messaging: mustafa.khan@direct.raleighrad.nchie.net

Organizations & group practices 8

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 5

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": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1124331582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 GREENS DAIRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164612",
            "telephone_number": "540-493-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128087",
            "telephone_number": "919-781-1437",
            "fax_number": "919-787-4870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Tate Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245011109",
            "country_code": "US",
            "telephone_number": "434-200-5047",
            "fax_number": "434-200-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUSTAFA",
        "middle_name": "SARDAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2015-00928",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101271029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.