Khalid Y. Khan, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

93-85 Issued in NM

Practice address

141 N Roadrunner Pkwy
Suite 137
Las Cruces, NM 88011-2006

Phone

(575) 522-1974

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Thoracic SurgeryAlso: Vascular Surgery

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• New Mexico Vein Treatment Center LLC

  • Surgery Physician
  • Las Cruces, NM
  • NPI 1336182021
  Medicare reassignment NPD Authorized official
• Southwest Ultrasound Services LLC

  • Mobile Radiology Clinic/Center
  • Las Cruces, NM
  • NPI 1356734974
  NPD
• First Step Center

  • Obstetrics & Gynecology Physician
  • Las Cruces, NM
  • NPI 1831214857
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1235199241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N ROADRUNNER PKWY",
            "address_2": "SUITE 137",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880112006",
            "telephone_number": "575-522-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N ROADRUNNER PKWY",
            "address_2": "SUITE 137",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880112006",
            "telephone_number": "575-522-1974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2474 Indian Wells Rd",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883103845",
            "country_code": "US",
            "telephone_number": "575-522-1974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "KHALID",
        "middle_name": "Y.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "93-85",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06866",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS & HMO OF NM",
            "identifier": "NM009B74",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH",
            "identifier": "202000493",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "020053292",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alma Nayeli Ketcherside
• Kaitlyn Ketchum
• Nosrat Khajavi, D.O.
• Ratnavali Khalsa
• Mohamed Abdoullah Khamsi, AG-ACNP
• Muhammad Owais Khan, M.D. , MBA, FHM.
• Talha Khan, MD
• Terri Lynn Kidd, LCSW
• Kidney Consultants of New Mexico PC
• Kidney Disease and Hypertension Center of New Mexico LLC

• Surgery Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.

Verify at the official NPI Registry.