Active NPI
Jahangir Khan, MD
- Family Medicine Physician
- Sand Springs, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18389
- 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
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 |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Ambassador Manor Nursing Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18389 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Family Medicine | Current | Accepting new patients |
| Creek Nation Hospital & Clinics | Family Medicine | Current | Accepting new patients |
| Faisal Wasi MD, PC | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | 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.
-
- Hospitalist Physician
- Edmond, OK
- NPI 1225774227
-
- Infectious Disease Physician
- Muskogee, OK
- NPI 1265757827
-
- Internal Medicine Physician
- Edmond, OK
- NPI 1306396577
-
- Internal Medicine Physician
- Edmond, OK
- NPI 1760030399
-
- General Acute Care Hospital
- Okmulgee, OK
- NPI 1033511480
-
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
-
- Allergy & Immunology Physician
- Tulsa, OK
- NPI 1598816621
-
- Skilled Nursing Facility
- Oklahoma City, OK
- NPI 1225496706
-
- Family Medicine Physician
- Bixby, OK
- NPI 1164646436
-
- General Acute Care Hospital
- Okmulgee, OK
- NPI 1083616221
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.