Active NPI
Mustafa Sardar Khan, M.D.
- Diagnostic Radiology Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2015-00928
- 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
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 |
|---|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Corp
Practice addresses (Care Compare)
1701 Minley Way
Apex, NC 27502-5776
Phone (888) 522-4514
Hospital & facility affiliations
- Grant Medical Center
- Mercy St Vincent Medical Center
- Adena Regional Medical Center
- Fairfield Medical Center
- Mercer County Joint Township Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.16 of 100
- Quality
- 83.58
- Promoting interoperability
- 94
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.55 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 78.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Radiology Corp | Diagnostic Radiology | Current | Accepting new patients |
| Murfreesboro Radiology & Nuclear Medicine Consultants PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Clarksville Imaging Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Adi Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Middle Tennessee Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Raleigh Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | 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
- 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.
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1669408159
Diagnostic Radiology, NC, OH
-
- Diagnostic Radiology Physician
- Franklin, TN
- NPI 1083266761
Diagnostic Radiology, NC
-
- Diagnostic Radiology Physician
- Clarksville, TN
- NPI 1043285539
Diagnostic Radiology, NC
-
- Diagnostic Radiology Physician
- Dickson, TN
- NPI 1770667289
Diagnostic Radiology, NC
-
- Diagnostic Radiology Physician
- Murfreesboro, TN
- NPI 1316043524
Diagnostic Radiology, NC
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1861478489
Diagnostic Radiology, NC
-
- Diagnostic Radiology Physician
- Raleigh, NC
- NPI 1952527343
Diagnostic Radiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coldwater, OH
- NPI 1497784144
Hospital
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.
- 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.