Individual provider Active NPI

Mohammed Bahadur Khan, M.D.

  • Specialist
  • Memphis, TN
National Provider Identifier
1235181710
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000020101 Issued in TN
Practice address
6005 Park Ave Ste 405
Memphis, TN 38119-5214
Phone
(901) 369-6010
Fax
(901) 369-4622
NPI assigned
May 16, 2006
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0000020101 TN Primary

Addresses

Primary practice location

6005 Park Ave Ste 405
Memphis, TN 38119-5214

Mailing address

6005 Park Ave Ste 405
Memphis, TN 38119-5214
Phone (901) 369-6010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20101217000753 TN Practitioner - Internal MedicinePractitioner - Nephrology 8224936687 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

3960 Knight Arnold Rd
Suite 110
Memphis, TN 38118-0001
Phone (901) 369-6010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000020101TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Medical Clinic Specialist CurrentSince Jul 1, 1997 Accepting new patients
Isd Renal Inc PastSince Jul 1, 1997 Accepting new patients

Locations

3960 Knight Arnold Rd
Memphis, TN 38118
Phone (901) 369-4600

3960 Knight Arnold Rd
#111
Memphis, TN 38118

3960 Knight Arnold Rd
Ste 108
Memphis, TN 38118
Phone (901) 369-6000

3960 Knight Arnold Rd
Ste 110
Memphis, TN 38118
Phone (901) 369-6010

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2522/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mkhan@yourcarecommunity.org
  • Direct secure messaging: mohammed.khan.1@2522.direct.athenahealth.com

Organizations & group practices 2

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 3

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1235181710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 405",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195214",
            "telephone_number": "901-369-6010",
            "fax_number": "901-369-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 405",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195214",
            "telephone_number": "901-369-6010",
            "fax_number": "901-369-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMED",
        "middle_name": "BAHADUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000020101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.