Individual provider Active NPI

Zaka Urrehman Khan, MD

  • Pulmonary Disease Physician
  • Louisville, KY
National Provider Identifier
1205872405
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
36009 Issued in KY
Practice address
100 W Market St
Suite 2
Louisville, KY 40202-1332
Phone
(502) 587-8000
Fax
(502) 583-8001
NPI assigned
Jun 22, 2006
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 36009 KY
Pulmonary Disease Physician 207RP1001X 36009 KY Primary
Pulmonary Disease Physician 207RP1001X 01063137A IN
Pulmonary Disease Physician 207RP1001X 2004036407 MO
Sleep Medicine (Internal Medicine) Physician 207RS0012X 01063137A IN
Sleep Medicine (Internal Medicine) Physician 207RS0012X 2004036407 MO
Sleep Medicine (Internal Medicine) Physician 207RS0012X 36009 KY

Addresses

Primary practice location

100 W Market St
Suite 2
Louisville, KY 40202-1332

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 2

IdentifierTypeStateIssuer
200863930MedicaidIN
64042112MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicsoap.nortonhealthcare.org/
Direct Messaging Address zkhan38404@direct.nortonhealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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
I20070606000078 IN Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 8325005440 Reassigns benefits to 2 organizations
I20070629000309 KY Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 8325005440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians
T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-7225

100 W Market St
Suite 2
Louisville, KY 40202-1332
Phone (502) 587-8000

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4444

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

207 Sparks Ave
Jeffersonville, IN 47130-3739
Phone (502) 587-8000

3430 Newburg Rd
Louisville, KY 40218-2497

4001 Dutchmans LN
Louisville, KY 40207-4714
Phone (502) 893-1270

4606 Greenwood Rd
Louisville, KY 40258-3726
Phone (502) 937-2209

4950 Norton Healthcare Blvd
Louisville, KY 40241-2847

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8125

676 S Floyd St
Louisville, KY 40202-1840

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36009KYMDCritical Care Medicine (Internal Medicine) Physician
2004036407MOMDPulmonary Disease Physician
01063137AINMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
T J Samson Community Hospital CurrentSince Jun 1, 2016 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Pulmonary Disease CurrentSince Nov 1, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Pennington Gap Hma Inc Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Emergency Coverage, LLC Past Accepting new patients
Nephrology Associates of Kentuckiana PSC Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

207 Sparks Ave
Ste 402
Jeffersonvlle, IN 47130
Phone (812) 283-7818

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1461 N Gardner St
Scottsburg, IN 47170
Phone (812) 282-8494

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

100 W Market St
Ste 2
Louisville, KY 40202

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Interoperability endpoints

  • Direct secure messaging: zakakhan@kpa.allscriptsdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1205872405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MARKET ST",
            "address_2": "SUITE 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021332",
            "telephone_number": "502-587-8000",
            "fax_number": "502-583-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ZAKA",
        "middle_name": "URREHMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "36009",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "36009",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01063137A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2004036407",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IN",
            "license": "01063137A",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MO",
            "license": "2004036407",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "KY",
            "license": "36009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200863930",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64042112",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "100 W Market St",
            "address_2": "Suite 2",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zkhan38404@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "100 W Market St",
            "address_2": "Suite 2",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.