Atif Khan, MD
Individual provider Active NPI Internal Medicine Physician · Batesville, AR
NPI 1225097041 · NPPES record last updated Dec 13, 2022
Key facts
- NPI
- 1225097041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- E4093 (AR)
- Practice address
- 1710 Harrison St
Batesville, AR 72501-7303 - Phone
- (870) 262-1750
- Fax
- (870) 262-1754
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 17
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- White River Health System, Inc.
Practice addresses (Care Compare)
1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1200
1710 Harrison St Slot
3 Batesville Oncology Clinic
Batesville, AR 72501-7303
Phone (870) 262-1750
Hospital & facility affiliations
- White River Medical Center
- Stone County Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050407001363 | AR | Practitioner - Hematology/Oncology |
7113972225 | Reassigns benefits to 3 organizations |
| I20220518001320 | MO | Practitioner - Hematology/Oncology | 7113972225 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4093 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White River Health System, Inc | Internal Medicine | Current |
Accepting new patients |
| Mercy Clinic Springfield Communities | Internal Medicine | Current |
Accepting new patients |
| White River Health System, Inc. | Current |
Accepting new patients | |
| University of Arkansas for Medical Sciences | Current |
Accepting new patients | |
| University of Arkansas for Medical Sciences | Internal Medicine | Current |
Accepting new patients |
| Mercy Clinic Springfield Communities | Current |
Accepting new patients |
Locations
1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240
1710 Harrison St
#3
Batesville, AR 72501
Phone (870) 262-1750
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
#508
Little Rock, AR 72205
Phone (501) 686-8511
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
1526 E Main St
Melbourne, AR 72556
Phone (870) 262-3210
2055 S Fremont Ave
#1000
Springfield, MO 65804
Phone (417) 820-8099
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Interoperability endpoints
- atif.khan@rkdmd.ikm.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | E-4093 | AR | |
| Medical Oncology Physician | 207RX0202X | E-4093 | AR | |
| Internal Medicine Physician | 207R00000X | E4093 | AR | Yes |
Addresses
Primary practice location
1710 Harrison St
Batesville, AR 72501-7303
Mailing address
1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1750
Other practice location 1
John McClellan VA Hospital West 7th Street
LittleRock, AR 72205
Phone (501) 257-5050
Other practice location 2
4301 W Markham St # 508
Little Rock, AR 72205-7101
Phone (501) 686-8530
Other providers in Batesville, AR
- Teresa Kellar
- Laura Keller
- Robin Kerr
- Delpha K Kever
- Amar Khalaf
- Babar Ahmad Khan
- Momin Rahim Khan
- Sania Hanif Khan
- Shoaib Khan
- Clayton Michael Kiihnl
All providers in Batesville, AR · Internal Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.