Individual provider Active NPI

Elizabeth Acton Khan, M.D.

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1164410833
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD050725L Issued in PA
Practice address
1146 S Cedar Crest Blvd
2ND Floor
Allentown, PA 18103-7938
Phone
(610) 366-9000
Fax
(610) 366-9229
NPI assigned
Oct 7, 2005
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD050725L PA Primary

Addresses

Primary practice location

1146 S Cedar Crest Blvd
2ND Floor
Allentown, PA 18103-7938

Mailing address

1146 S Cedar Crest Blvd
2ND Floor
Allentown, PA 18103-7938
Phone (610) 366-9000

Other identifiers 1

IdentifierTypeStateIssuer
0015450960002MedicaidPA

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
I20080324000223 PA Practitioner - Family PracticePractitioner - Pain Management 9032295613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pain Management
Education
Medical College of Pennsylvania, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Pain and Primary Care IncGroup PAC ID 7315851565, 7 clinicians

Practice addresses (Care Compare)

1146 S Cedar Crest Blvd
Allentown, PA 18103-7938
Phone (610) 366-9000

1789 N Keyser Ave
Scranton, PA 18508-1250
Phone (610) 366-9000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD050725LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc Family Medicine Past Accepting new patients
Northern Valley Primary Care,P.C Family Medicine Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1164410833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 S CEDAR CREST BLVD",
            "address_2": "2ND FLOOR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037938",
            "telephone_number": "610-366-9000",
            "fax_number": "610-366-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 S CEDAR CREST BLVD",
            "address_2": "2ND FLOOR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037938",
            "telephone_number": "610-366-9000",
            "fax_number": "610-366-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ELIZABETH",
        "middle_name": "ACTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD050725L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015450960002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.