NPIMap

Individual provider Active NPI

Abid R Khan, MD

  • Internal Medicine Physician
  • Clare, MI
National Provider Identifier
1275710873
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301091294 Issued in MI
Practice address
602 Beech St
Clare, MI 48617-1466
Phone
(989) 802-5091
Fax
(989) 802-5083
NPI assigned
Jan 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301091294 MI
Internal Medicine Physician 207R00000X 4301091294 MI Primary

Addresses

Primary practice location

602 Beech St
Clare, MI 48617-1466

Mailing address

602 Beech St
Clare, MI 48617-1466
Phone (989) 802-5091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080327000456 MI Practitioner - Addiction MedicinePractitioner - Internal Medicine 9830275056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mymichigan Medical Center ClareGroup PAC ID 7012829773, 128 clinicians

Practice addresses (Care Compare)

4770 Wellington Dr
Okemos, MI 48864-1249
Phone (517) 940-2884

602 Beech St
Clare, MI 48617-1466
Phone (989) 802-5117

Hospital & facility affiliations

  • Mymichigan Home Care Home health agency, Midland, MI, CCN 237015
  • McLaren Home Care Home health agency, Mount Pleasant, MI, CCN 237036
  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Mymichigan Medical Center Gladwin Hospital, Gladwin, MI, CCN 231325
  • Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030
  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reliance Health Care PLLC Internal Medicine CurrentSince Feb 26, 2024 Accepting new patients
Mymichigan Medical Center Clare Internal Medicine CurrentSince Apr 1, 2010 Accepting new patients
Mymichigan Medical Center Clare Past Accepting new patients

Locations

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

602 Beech St
Ste 3210
Clare, MI 48617
Phone (989) 802-8817

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

Interoperability endpoints

  • Direct secure messaging: akhan6603@mymichiganhealth.midirect.net

Organizations & group practices 3

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.

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": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1275710873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 BEECH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171466",
            "telephone_number": "989-802-5091",
            "fax_number": "989-802-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BEECH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171466",
            "telephone_number": "989-802-5091",
            "fax_number": "989-802-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABID",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301091294",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301091294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clare, MI

Sources for this page

Verify at the official NPI Registry.