Active NPI
Mehtab A Khan, M.D., MPH
- Psychiatry Physician
- Richmond, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA09684800
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200995260 | Medicaid | IN | |
| 000000731352 | Other | ANTHEM | |
| 3109166 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Clara Maass Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01067816A | IN | MD | Psychiatry Physician |
| 25MA09684800 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Guidance, PC | Psychiatry | Current | Accepting new patients |
| Barnabas Health Medical Group, PC | Current | Accepting new patients | |
| Immediate Care Psychiatric Center | Psychiatry | Current | 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
- mehtab.khan.p1@direct.cfg.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Specialist
- West Orange, NJ
- NPI 1447206420
-
- Geriatric Psychiatry Physician
- Marlton, NJ
- NPI 1508803388
-
- Internal Medicine Physician
- Mine Hill, NJ
- NPI 1568570489
-
- Psychiatry Physician
- Parsippany, NJ
- NPI 1124072632
-
- Internal Medicine Physician
- Richmond, IN
- NPI 1982633236
-
- Anatomic Pathology & Clinical Pathology Physician
- Richmond, IN
- NPI 1437188786
-
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
-
- Psychiatric Hospital Unit
- Boonton Township, NJ
- NPI 1598472615
-
- Psychiatric Hospital Unit
- Boonton Township, NJ
- NPI 1902286172
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, NJ
- NPI 1902901333
-
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.