Shaukat H Khan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD022172E Issued in PA

Practice address

555 Delaware Ave
Suite 1
Palmerton, PA 18071-1947

Phone

(610) 826-4420

Fax

(610) 826-6082

NPI assigned

Aug 29, 2006

Last updated

Jul 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• St. Luke's Physician Group, Inc.

  dba South Mountain Family Practice

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment NPD
• St Luke's Physician Group Inc

  dba St. Luke's Primary Care Orwigsburg

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• St. Luke's Physician Group, Inc.

  dba St. Luke's Internal Medicine Bangor

  • Internal Medicine Physician
  • Bangor, PA
  • NPI 1730403304
  NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1184732000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 DELAWARE AVE",
            "address_2": "SUITE 1",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711947",
            "telephone_number": "610-826-4420",
            "fax_number": "610-826-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 DELAWARE AVE",
            "address_2": "SUITE 1",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711947",
            "telephone_number": "610-826-4420",
            "fax_number": "610-826-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAUKAT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD022172E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006523400001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John W. Shewood, DMD, PC
• Michael G. Jusinski, M.D.
• Francis J Kaczmarek, D.P.M.
• Ahamed Karim, M.D.
• Kathleen Marie Kattner, COTA/L
• Lafayette Anesthesiologists LLC
• Chung H Lee, MD
• Lehigh Valley Physician Group (LVPG Family Medicine - Palmerton)
• Bethany Marie Lengel, NP-C
• Cheryl Sandra Lipson, M.D.

• Internal Medicine Physician in Palmerton, PA
• Providers in Palmerton, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.