NPIMap

Individual provider Active NPI

Kamran John Khaghany, M.D.

  • Diagnostic Radiology Physician
  • Fargo, ND
National Provider Identifier
1255502498
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
58600 Issued in MN
Practice address
801 Broadway N
Fargo, ND 58102-3641
Phone
(701) 234-2015
NPI assigned
Mar 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X PT11915 ND
Diagnostic Radiology Physician 2085R0202X 134127 NC
Diagnostic Radiology Physician 2085R0202X 58600 MN Primary
Diagnostic Radiology Physician 2085R0202X 11915 ND

Addresses

Primary practice location

801 Broadway N
Fargo, ND 58102-3641

Mailing address

712 S Cascade St
Fergus Falls, MN 56537-2913
Phone (218) 736-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20150114000608 MN Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Pain ManagementPractitioner - Interventional Radiology 6507917630 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Michigan State University College of Human Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glacial Ridge Hospital DistrictGroup PAC ID 5294789194, shared by 7 NPIs, 69 clinicians

Practice addresses (Care Compare)

10 4TH Ave SE
Glenwood, MN 56334-1820
Phone (320) 634-4521

24 E 7TH St
Morris, MN 56267-1312
Phone (320) 589-4008

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134127NCMDDiagnostic Radiology Physician
11915NDMDDiagnostic Radiology Physician
PT11915NDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glacial Ridge Hospital District CurrentSince Feb 1, 2019 Accepting new patients
Glacial Ridge Hospital District Current Accepting new patients
St. Joseph's Area Health Services Current Accepting new patients
Sanford Medical Center Fargo Current Accepting new patients
Lake Region Healthcare Corporation CurrentSince Oct 1, 2018 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Nov 8, 2014 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Jan 25, 2026 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Oct 1, 2018 Accepting new patients
Glacial Ridge Hospital District CurrentSince Feb 1, 2019 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Nov 8, 2014 Accepting new patients
Lake Region Healthcare Corporation Current Accepting new patients

Locations

3314 Solutions Ctr
Chicago, IL 60677

1411 Highway 79 E
Elbow Lake, MN 56531
Phone (218) 685-7300

649 State St NW
Evansville, MN 56326
Phone (218) 948-2040

712 S Cascade St
Fergus Falls, MN 56537

10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157

417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157

24 E 7th St
Morris, MN 56267
Phone (320) 589-4008

600 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-3311

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/glac-1755385c
  • FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/

Organizations & group practices 12

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 9

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": "1205625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1255502498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 S CASCADE ST",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372913",
            "telephone_number": "218-736-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581023641",
            "telephone_number": "701-234-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAGHANY",
        "first_name": "KAMRAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-16",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "PT11915",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "134127",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "58600",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "11915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.