Individual provider Active NPI

Muhammad Usman Khan

  • Student in an Organized Health Care Education/Training Program
  • Wilkes-Barre, PA
National Provider Identifier
1154149698
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1000 East Mountain Blvd. Geisinger Neurology (Wilkes-Ba
Valley Medical BLDG, 2ND Floor MC 37-70
Wilkes-Barre, PA 18711
Phone
(570) 808-6845
NPI assigned
Oct 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1000 East Mountain Blvd. Geisinger Neurology (Wilkes-Ba
Valley Medical BLDG, 2ND Floor MC 37-70
Wilkes-Barre, PA 18711

Mailing address

1000 East Mountain Blvd. Geisinger Neurology (Wilkes-Ba
Valley Medical BLDG, 2ND Floor MC 37-70
Wilkes-Barre, PA 18711
Phone (570) 808-6845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250403000128 PA Order and Referring Only - NeurologyPractitioner - Neurology 1355864000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1154149698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EAST MOUNTAIN BLVD. GEISINGER NEUROLOGY (WILKES-BA",
            "address_2": "VALLEY MEDICAL BLDG, 2ND FLOOR MC 37-70",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "18711",
            "telephone_number": "570-808-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST MOUNTAIN BLVD. GEISINGER NEUROLOGY (WILKES-BA",
            "address_2": "VALLEY MEDICAL BLDG, 2ND FLOOR MC 37-70",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "18711",
            "telephone_number": "570-808-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUHAMMAD",
        "middle_name": "USMAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-02",
        "last_updated": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes-Barre, PA

Sources for this page

Verify at the official NPI Registry.