Individual provider Active NPI

Nasir Khan, M.D.

  • Nephrology Physician
  • Spokane, WA
National Provider Identifier
1285061226
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD61293448 Issued in WA
Practice address
105 W 8TH Ave Ste 1000
Spokane, WA 99204-2327
Phone
(509) 474-4500
NPI assigned
Oct 4, 2013
Last updated
May 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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 E-12077 AR
Nephrology Physician 207RN0300X E-12077 AR
Nephrology Physician 207RN0300X MD61293448 WA Primary

Addresses

Primary practice location

105 W 8TH Ave Ste 1000
Spokane, WA 99204-2327

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455

Other practice location 1

4301 W Markham St # 520
Little Rock, AR 72205-7101
Phone (501) 686-6644

Other practice location 2

20 York St
Ynhh - Dept of Nephrology
New Haven, CT 06510-3220
Phone (203) 688-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, WV2 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
I20191101001906 AR Practitioner - NephrologyPractitioner - Internal Medicine 4385939974 Reassigns benefits to 8 organizations
I20260120001394 WV Practitioner - NephrologyPractitioner - Internal Medicine 4385939974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, shared by 29 NPIs, 1,159 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

1125 N College Ave
Uams Family Medical Center
Fayetteville, AR 72703-1908
Phone (479) 521-8260

1301 S E St
Fort Smith, AR 72901-3892
Phone (479) 785-2431

1393 Hwy 242 S
Helena, AR 72342-8851
Phone (870) 572-2727

1601 W 40TH Ave
Pine Bluff, AR 71603-6069
Phone (870) 541-6000

311 E Matthews Ave
Jonesboro, AR 72401-3125
Phone (870) 972-9603

3417 U of a Way
Texarkana, AR 71854-1419
Phone (870) 779-6000

4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000

620 W Grove St
Suite 202
El Dorado, AR 71730-4409
Phone (501) 526-5601

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-12077ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Oct 1, 2019 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 15, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 9, 2026 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 15, 2025 Accepting new patients
West Virginia University Medical Corporation Internal Medicine CurrentSince Jan 9, 2026 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 15, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 15, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Oct 1, 2019 Accepting new patients
University of Arkansas for Medical Sciences Internal Medicine Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 15, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 15, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 15, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

620 W Grove St
Ste 202
El Dorado, AR 71730
Phone (870) 863-2420

1125 N College Ave
Fayetteville, AR 72703
Phone (479) 521-8260

1301 S E St
Fort Smith, AR 72901
Phone (479) 785-2431

1393 Highway 242 S
Helena, AR 72342
Phone (870) 338-6749

311 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-4150

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#520
Little Rock, AR 72205
Phone (501) 686-5205

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
Fl 3
Little Rock, AR 72205

1601 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7611

300 E 6th St
Texarkana, AR 71854
Phone (870) 779-6000

3417 U of a Way
Texarkana, AR 71854
Phone (870) 779-6000

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Organizations & group practices 14

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.

View all 14

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": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1285061226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "866-747-2455",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE STE 1000",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042327",
            "telephone_number": "509-474-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 520",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-6644",
            "fax_number": "501-686-6375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 York St",
            "address_2": "YNHH - DEPT OF NEPHROLOGY",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-688-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NASIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-04",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-12077",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "E-12077",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD61293448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.