NPIMap

Individual provider Active NPI

Atif Khan, MD

  • Internal Medicine Physician
  • Batesville, AR
National Provider Identifier
1225097041
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E4093 Issued in AR
Practice address
1710 Harrison St
Batesville, AR 72501-7303
Phone
(870) 262-1750
Fax
(870) 262-1754
NPI assigned
Mar 21, 2006
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X E-4093 AR
Medical Oncology Physician 207RX0202X E-4093 AR
Internal Medicine Physician 207R00000X E4093 AR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050407001363 AR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7113972225 Reassigns benefits to 3 organizations
I20220518001320 MO Practitioner - Hematology/Oncology 7113972225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White River Health System, Inc.Group PAC ID 0143134270, shared by 36 NPIs, 190 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4093ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Dec 2, 2022 Accepting new patients
Mercy Clinic Springfield Communities Internal Medicine CurrentSince Apr 20, 2022 Accepting new patients
University of Arkansas for Medical Sciences Internal Medicine CurrentSince Dec 2, 2022 Accepting new patients
White River Health System, Inc Internal Medicine CurrentSince Sep 29, 2006 Accepting new patients
White River Health System, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 20, 2022 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
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
#783
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

  • Direct secure messaging: atif.khan@rkdmd.ikm.direct-ci.com

Organizations & group practices 6

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1225097041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017303",
            "telephone_number": "870-262-1750",
            "fax_number": "870-262-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017303",
            "telephone_number": "870-262-1750",
            "fax_number": "870-262-1754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "John McClellan VA Hospital West 7th Street",
            "address_purpose": "LOCATION",
            "city": "LittleRock",
            "state": "AR",
            "postal_code": "72205",
            "country_code": "US",
            "telephone_number": "501-257-5050",
            "fax_number": "501-257-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St # 508",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8530",
            "fax_number": "501-686-8543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ATIF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "AR",
            "license": "E-4093",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "AR",
            "license": "E-4093",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E4093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.