Individual provider Active NPI

Jahangir Khan, MD

  • Family Medicine Physician
  • Sand Springs, OK
National Provider Identifier
1265590889
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18389 Issued in OK
Practice address
409 E Broadway St
Sand Springs, OK 74063-7912
Phone
(918) 245-2537
Fax
(918) 245-1273
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18389 OK Primary

Addresses

Primary practice location

409 E Broadway St
Sand Springs, OK 74063-7912

Mailing address

409 E Broadway St
Sand Springs, OK 74063-7912
Phone (918) 758-0032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050516000235 OK Practitioner - Family PracticePractitioner - General Practice 8123069630 Reassigns benefits to 5 organizations
Practice locations: Bixby, OK; Sand Springs, OK
I20230831000152 TX Practitioner - Family Practice 8123069630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optimum Post Acute Care PLLCGroup PAC ID 5799162111, 18 clinicians

Practice addresses (Care Compare)

13330 S Memorial Dr
Suite 1
Bixby, OK 74008-3165
Phone (918) 394-1413

1501 E 19TH St
Edmond, OK 73013-6618
Phone (405) 914-2356

401 E Broadwy CT
Ste. C
Sand Springs, OK 74063-7931

Hospital & facility affiliations

  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
  • Ambassador Manor Nursing Center Nursing home, Tulsa, OK, CCN 375168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18389OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince Jan 1, 2015 Accepting new patients
Creek Nation Hospital & Clinics Family Medicine CurrentSince May 18, 2023 Accepting new patients
Creek Nation Hospital & Clinics Family Medicine Current Accepting new patients
Faisal Wasi MD, PC CurrentSince Apr 11, 2017 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 1, 2015 Accepting new patients
Allergy Asthma and Immunology Center PC Past Accepting new patients
Omh Home Health Past Accepting new patients
Ambassador Operations LLC Past Accepting new patients
Family Medical Center & Minor Emergency, Inc. Family Medicine Past Accepting new patients
Okmulgee Memorial Hospital, Inc Past Accepting new patients

Locations

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

905 NW 5th St
Stigler, OK 74462
Phone (918) 967-0072

Dept 1467
Tulsa, OK 74182

Dept 1038
Tulsa, OK 74182

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265590889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E BROADWAY ST",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637912",
            "telephone_number": "918-758-0032",
            "fax_number": "918-758-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E BROADWAY ST",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637912",
            "telephone_number": "918-245-2537",
            "fax_number": "918-245-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "JAHANGIR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "18389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sand Springs, OK

Sources for this page

Verify at the official NPI Registry.