NPIMap

Individual provider Active NPI

Nasser Ud-Din Khan, M.D.

  • Interventional Cardiology Physician
  • Bakersfield, CA
National Provider Identifier
1174592547
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
C51938 Issued in CA
Practice address
5945 Truxtun Ave
Bakersfield, CA 93309-0610
Phone
(661) 631-5544
Fax
(661) 631-5546
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C51938 CA
Interventional Cardiology Physician 207RI0011X C51938 CA Primary

Addresses

Primary practice location

5945 Truxtun Ave
Bakersfield, CA 93309-0610

Mailing address

5945 Truxtun Ave
Bakersfield, CA 93309-0610
Phone (661) 631-5544

Other identifiers 2

IdentifierTypeStateIssuer
00C519380OtherBLUE SHIELD
00C519380MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000812 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Pain ManagementPractitioner - Internal Medicine 2860420494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Pain Management
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Cardiovascular Medical Group, Inc.Group PAC ID 9830130822, 8 clinicians

Practice addresses (Care Compare)

5945 Truxton Extension
Bakersfield, CA 93309-0610
Phone (661) 631-5544

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.57 of 100Reported as individual
Quality
77.23
Improvement activities
40
Cost
78.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28
Pacemaker insertion or repair1-10
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51938CAMDDentist
C51938CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Cardiovascular Medical Group, Inc. Cardiovascular Disease CurrentSince Aug 2, 2005 Accepting new patients
Kern County Hospital Authority CurrentSince Jul 1, 2016 Accepting new patients
San Joaquin Community Hospital Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Adventist Health Delano Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

5945 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 323-4278

432 Lexington St
Ste B
Delano, CA 93215
Phone (661) 721-2090

20041 W Valley Blvd
Ste 3
Tehachapi, CA 93561
Phone (661) 203-8768

20041 W Valley Blvd
Ste 4
Tehachapi, CA 93561
Phone (661) 822-0377

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1174592547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090610",
            "telephone_number": "661-631-5544",
            "fax_number": "661-631-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090610",
            "telephone_number": "661-631-5544",
            "fax_number": "661-631-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NASSER",
        "middle_name": "UD-DIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C51938",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "C51938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00C519380",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C519380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.