Individual provider Active NPI

Jemshed A Khan, M.D.

  • Ophthalmology Physician
  • Overland Park, KS
National Provider Identifier
1215034277
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0421769 Issued in KS
Practice address
9650 Nall Ave
Overland Park, KS 66207-2952
Phone
(913) 696-1154
Fax
(913) 696-0984
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0421769 KS Primary
Ophthalmology Physician 207W00000X 36432 MO

Addresses

Primary practice location

9650 Nall Ave
Overland Park, KS 66207-2952

Mailing address

9650 Nall Ave
Overland Park, KS 66207-2952
Phone (913) 696-1154

Other identifiers 2

IdentifierTypeStateIssuer
13341108OtherMOBCBS
100155470HMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20050623000345 KS Practitioner - Ophthalmology 9032154778 Reassigns benefits to 1 organization
I20050804000899 MO Practitioner - Ophthalmology 9032154778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Kansas City, School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Khan Eyelid and Facial Plastic Surgery LLCGroup PAC ID 8820168677, 2 clinicians

Practice addresses (Care Compare)

1015 Iowa St
Lawrence, KS 66044-1838
Phone (913) 696-1154

4240 Blue Ridge Blvd
Suite 1000
Kansas City, MO 64133-1754
Phone (816) 358-9990

9650 Nall Ave
Overland Park, KS 66207-2952
Phone (913) 696-1154

Merit-based Incentive Payment System (MIPS)

Final score
63.21 of 100Reported as individual
Quality
26.42
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Khan Eyelid and Facial Plastic Surgery LLC Ophthalmology CurrentSince Jul 10, 2002 Accepting new patients
Moyes Eye Center, P.C. Ophthalmology PastSince Oct 15, 2002 Accepting new patients
Bethany Eye Center, LLC Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

1015 Iowa St
Lawrence, KS 66044
Phone (785) 841-2280

9650 Nall Ave
Overland Park, KS 66207
Phone (913) 696-1127

4240 Blue Ridge Blvd
Ste 1000
Kansas City, MO 64133
Phone (816) 358-3600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1215034277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 NALL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072952",
            "telephone_number": "913-696-1154",
            "fax_number": "913-696-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 NALL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072952",
            "telephone_number": "913-696-1154",
            "fax_number": "913-696-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "JEMSHED",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "0421769",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "36432",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13341108",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100155470H",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.