Individual provider Active NPI

Ahmad Haroon Khan, MD

  • Internal Medicine Physician
  • Chambersburg, PA
National Provider Identifier
1235127747
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD059857L Issued in PA
Practice address
765 Fifth Avenue
Suite C
Chambersburg, PA 17201
Phone
(717) 446-0895
Fax
(717) 753-3152
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD059857L PA Primary

Addresses

Primary practice location

765 Fifth Avenue
Suite C
Chambersburg, PA 17201

Mailing address

1267 Cherry Tree LN
Chambersburg, PA 17202-7492
Phone (717) 446-0895

Other identifiers 1

IdentifierTypeStateIssuer
1599678MedicaidPA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040202000778 PA Practitioner - Internal Medicine 5698678969 Receives reassigned benefits from 1 practitioner
Practice locations: Chambersburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

765 5TH Ave
Suite C
Chambersburg, PA 17201-4228
Phone (717) 446-0895

Hospital & facility affiliations

  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151

Merit-based Incentive Payment System (MIPS)

Final score
69.06 of 100Reported as individual
Quality
25.78
Improvement activities
40
Cost
62.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD059857LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Center Opco LLC Past Accepting new patients
Comprehensive Health Care PastSince Nov 1, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1235127747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 CHERRY TREE LN",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172027492",
            "telephone_number": "717-446-0895",
            "fax_number": "717-753-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 FIFTH AVENUE",
            "address_2": "SUITE C",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "17201",
            "telephone_number": "717-446-0895",
            "fax_number": "717-753-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AHMAD",
        "middle_name": "HAROON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD059857L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1599678",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.