Individual provider Active NPI

Erum Khan, M.D.

  • Psychiatry Physician
  • Salem, MO
National Provider Identifier
1164735619
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2015012605 Issued in MO
Practice address
913 S Pershing Ave
Salem, MO 65560-1845
Phone
(888) 403-1071
NPI assigned
Jul 26, 2010
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2015012605 MO Primary

Addresses

Primary practice location

913 S Pershing Ave
Salem, MO 65560-1845

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131

Other practice location 1

1800 Community
Clinton, MO 64735-8804
Phone (888) 403-1071

Other practice location 2

1000 W Nifong Blvd Bldg 6
Columbia, MO 65203-5615
Phone (888) 403-1071

Other practice location 3

206 S Mill St
Eldon, MO 65026-1864
Phone (888) 403-1071

Other practice location 4

227 Metro Dr
Jefferson City, MO 65109-1134
Phone (888) 403-1071

Other practice location 5

320 Mac Blvd
Nevada, MO 64772-3990
Phone (888) 403-1071

Other practice location 6

1450 E 10th St
Rolla, MO 65401-3648
Phone (573) 364-7551

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20150717002021 MO Practitioner - Psychiatry 2860705936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Health IncGroup PAC ID 1951206754, 317 clinicians

Practice addresses (Care Compare)

1448 E 10TH St
Rolla, MO 65401-3648
Phone (844) 853-8937

1450 E 10TH St
Rolla, MO 65401-3648
Phone (888) 403-1071

403 W 6TH St
Rolla, MO 65401-3012
Phone (844) 853-8937

575 B Blues Lake Pkwy
Rolla, MO 65401-8587
Phone (844) 853-8937

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Jul 9, 2015 Accepting new patients
Compass Health, Inc CurrentSince Jul 9, 2015 Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

1000 W Nifong Blvd
Bldg 6
Columbia, MO 65203
Phone (573) 443-7755

1001 W Worley St
Columbia, MO 65203
Phone (573) 214-2314

206 S Mill St
Eldon, MO 65026
Phone (573) 392-1828

227 Metro Dr
Jefferson Cty, MO 65109
Phone (573) 634-3000

1600 N Missouri Ave
Marceline, MO 64658
Phone (660) 376-2038

320 Mac Blvd
Nevada, MO 64772
Phone (417) 667-2262

1450 E 10th St
Rolla, MO 65401
Phone (573) 364-7551

913 S Pershing Ave
Salem, MO 65560
Phone (573) 729-6220

19515 Brune Pkwy
Warrenton, MO 63383
Phone (636) 235-4049

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1164735619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S PERSHING AVE",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655601845",
            "telephone_number": "888-403-1071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Community",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MO",
            "postal_code": "647358804",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "fax_number": "660-885-3690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Nifong Blvd Bldg 6",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652035615",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 S Mill St",
            "address_purpose": "LOCATION",
            "city": "Eldon",
            "state": "MO",
            "postal_code": "650261864",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 Metro Dr",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651091134",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Mac Blvd",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "MO",
            "postal_code": "647723990",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "fax_number": "417-667-6515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654013648",
            "country_code": "US",
            "telephone_number": "573-364-7551",
            "fax_number": "573-364-4898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ERUM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2015012605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DIRECT",
            "address_1": "1 Hospital Dr",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652120001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, MO

Sources for this page

Verify at the official NPI Registry.