Individual provider Active NPI

Mehwish K Khan, MD

  • Internal Medicine Physician
  • Grass Valley, CA
National Provider Identifier
1174721385
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35089733 Issued in OH
Practice address
300 Sierra College Dr Ste 150
Grass Valley, CA 95945-5083
Phone
(530) 274-6600
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35089733 OH Primary

Addresses

Primary practice location

300 Sierra College Dr Ste 150
Grass Valley, CA 95945-5083

Mailing address

2076 Asgard CT NE
Atlanta, GA 30345-3889
Phone (404) 497-1020

Other practice location 1

155 Glasson Way Bldg 3L-20
Grass Valley, CA 95945-5723
Phone (530) 274-6600

Other identifiers 1

IdentifierTypeStateIssuer
2741279MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111011000109 GA Practitioner - Internal Medicine 6406957620 Reassigns benefits to 3 organizations
I20250611000391 CA Practitioner - Internal Medicine 6406957620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hope Clinic, Inc.Group PAC ID 4688657471, 6 clinicians
Grass Valley Radiation OncologyGroup PAC ID 3779902192, 5 clinicians

Practice addresses (Care Compare)

121 Langley Dr
Lawrenceville, GA 30046-6930
Phone (770) 685-1300

300 Sierra College Dr
Suite 150
Grass Valley, CA 95945-5083
Phone (530) 274-6600

Hospital & facility affiliations

  • Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35089733OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc Internal Medicine CurrentSince Oct 1, 2011 Accepting new patients
Grass Valley Radiation Oncology CurrentSince May 1, 2025 Accepting new patients
Emory Specialty Associates, LLC Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Sierra Nevada Memorial-Miners Hospital PastSince May 1, 2025 Accepting new patients

Locations

155 Glasson Way
Bldg 3
Grass Valley, CA 95945
Phone (530) 274-6600

155 Glasson Way
Bldg 3L20
Grass Valley, CA 95945
Phone 4077881906 ext. 225

300 Sierra College Dr
Ste 150
Grass Valley, CA 95945
Phone (530) 274-6600

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

Organizations & group practices 5

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 2

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1174721385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 ASGARD CT NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453889",
            "telephone_number": "404-497-1020",
            "fax_number": "404-252-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SIERRA COLLEGE DR STE 150",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455083",
            "telephone_number": "530-274-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Glasson Way Bldg 3L-20",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959455723",
            "country_code": "US",
            "telephone_number": "530-274-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MEHWISH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35089733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2741279",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.