Individual provider Active NPI

Mehtab A Khan, M.D., MPH

  • Psychiatry Physician
  • Richmond, IN
National Provider Identifier
1154414431
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA09684800 Issued in NJ
Practice address
320S 48TH St
Richmond, IN 47374-6070
Phone
(765) 935-0629
NPI assigned
Oct 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01067816A IN
Psychiatry Physician 2084P0800X 25MA09684800 NJ Primary

Addresses

Primary practice location

320S 48TH St
Richmond, IN 47374-6070

Mailing address

320S 48TH St
Richmond, IN 47374-6070
Phone (765) 935-0629

Other identifiers 3

IdentifierTypeStateIssuer
200995260MedicaidIN
000000731352OtherANTHEM
3109166MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20150928001661 NJ Practitioner - Psychiatry 9234260480 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group, PCGroup PAC ID 0648172809, 257 clinicians
Internal Medicine of Morris County LLCGroup PAC ID 2466428388, 77 clinicians
Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone (973) 450-2000

201 Lyons Ave
Newark, NJ 07112-2027
Phone (732) 923-7455

25 Pocono Rd
Denville, NJ 07834-2954
Phone (973) 927-5788

765 Route 70 E
BLDG a
Marlton, NJ 08053-2341
Phone (856) 983-3900

Hospital & facility affiliations

  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050
  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01067816AINMDPsychiatry Physician
25MA09684800NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Guidance, PC Psychiatry CurrentSince May 6, 2021 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Aug 11, 2015 Accepting new patients
Immediate Care Psychiatric Center Psychiatry CurrentSince Jan 7, 2019 Accepting new patients
Prime Healthcare Services - Saint Clare'S LLC Past Accepting new patients
Prime Healthcare Services - Saint Clare'S LLC Past Accepting new patients
Reid Hospital & Health Care Services Inc Past Accepting new patients
Reid Hospital & Health Care Services, Inc Past Accepting new patients
Prime Healthcare Services - Saint Clare'S LLC Past Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

130 Powerville Rd
Boonton Twp, NJ 07005
Phone (973) 316-1800

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

266 King George Rd
Warren, NJ 07059
Phone (732) 667-7778

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: mehtab.khan.p1@direct.cfg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mkhan45728@epicdirect.rwjbh.org

Organizations & group practices 9

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 2

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": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1154414431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320S 48TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473746070",
            "telephone_number": "765-935-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320S 48TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473746070",
            "telephone_number": "765-935-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MEHTAB",
        "middle_name": "A",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01067816A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09684800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200995260",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000731352",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3109166",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.