Active NPI
Bilquis F. Khan, M.D.
- Pediatrics Physician
- Cleveland, OH
National Provider Identifier
1164516050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35056172
- Practice address
- 15322 St. Clair Avenue
Cleveland, OH 44110 - Phone
- (216) 851-1500
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35056172 | OH | Primary |
Addresses
Primary practice location
15322 St. Clair Avenue
Cleveland, OH 44110
Mailing address
15322 St. Clair Avenue
Cleveland, OH 44110
Phone (216) 851-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0703386 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35056172 | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1164516050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15322 ST. CLAIR AVENUE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44110",
"telephone_number": "216-851-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15322 ST. CLAIR AVENUE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44110",
"telephone_number": "216-851-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "BILQUIS",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35056172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0703386",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.