NPIMap

Individual provider Active NPI

Zeeshan Khan, MD

  • Interventional Cardiology Physician
  • Oklahoma City, OK
National Provider Identifier
1245469287
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
27098 Issued in OK
Practice address
4221 S Western Ave Ste 2010
Oklahoma City, OK 73109-3445
Phone
(054) 644-5120
Fax
(405) 644-5309
NPI assigned
Jul 13, 2009
Last updated
Jun 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27098 OK
Cardiovascular Disease Physician 207RC0000X 27098 OK
Interventional Cardiology Physician 207RI0011X 27098 OK Primary

Addresses

Primary practice location

4221 S Western Ave Ste 2010
Oklahoma City, OK 73109-3445

Mailing address

5401 N Portland Ave
Ste 410
Oklahoma City, OK 73112-2131
Phone (405) 271-5963

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160602000848 OK Practitioner - Interventional Cardiology 2668777046 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital LLCGroup PAC ID 2466494646, 4 clinicians
Integris Cardiovascular Physicians LLCGroup PAC ID 3577730068, 116 clinicians

Practice addresses (Care Compare)

3100 SW 89TH St
Oklahoma City, OK 73159-7900
Phone (405) 602-8100

4221 S Western Ave
2010 Southwest CVC
Oklahoma City, OK 73109-3445
Phone (405) 644-5120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
73.46
Promoting interoperability
100
Improvement activities
40
Cost
69.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting26
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TPG Hospital LLC Cardiovascular Disease CurrentSince Sep 1, 2017 Accepting new patients
Community Hospital LLC Current Accepting new patients
Integris Cardiovascular Physicians LLC Cardiovascular Disease CurrentSince Aug 1, 2017 Accepting new patients
Community Hospital LLC Cardiovascular Disease CurrentSince Sep 1, 2017 Accepting new patients
TPG Hospital LLC Current Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Baha Al Deen Abuesheh MD PC Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients

Locations

1401 SW 34th St
Ste 320
Moore, OK 73160
Phone (405) 676-8083

3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100

3433 NW 56th St
Oklahoma City, OK 73112
Phone (405) 947-3341

4221 S Western Ave
Ste 2010
Oklahoma City, OK 73109
Phone (405) 600-7201

5401 N Portland Ave
Ste 410
Oklahoma City, OK 73112
Phone (405) 604-4202

9204 N May Ave
Oklahoma City, OK 73120
Phone (405) 840-3488

Interoperability endpoints

  • Direct secure messaging: zkhan86906@direct.integrisok.com

Organizations & group practices 8

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 10

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1245469287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N PORTLAND AVE",
            "address_2": "STE 410",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122131",
            "telephone_number": "405-271-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE STE 2010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093445",
            "telephone_number": "054-644-5120",
            "fax_number": "405-644-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ZEESHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "27098",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "27098",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "27098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.