Active NPI
Mohammed Bahadur Khan, M.D.
- Specialist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD0000020101
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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)
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000020101 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Medical Clinic | Specialist | Current | Accepting new patients |
| Isd Renal Inc | Past | 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
- https://api.platform.athenahealth.com/2522/brand/1/csg/1/fhir/r4
- mkhan@yourcarecommunity.org
- 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.
-
- Specialist
- Memphis, TN
- NPI 1598964991
-
dba Race Street Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Philadelphia, PA
- NPI 1225647332
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
dba Baptist Trinity Home Care & Hospice
- Home Health Agency
- Cordova, TN
- NPI 1235664921
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.