Individual provider Active NPI

Basima Hasan Khan, DO

  • Internal Medicine Physician
  • Coeur d'Alene, ID
National Provider Identifier
1295359560
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO-06452 Issued in IA
Practice address
601 E Front Ave Ste 401
Coeur D Alene, ID 83814-5150
Phone
(208) 292-4045
NPI assigned
Jun 3, 2020
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X DO-06452 IA Primary

Addresses

Primary practice location

601 E Front Ave Ste 401
Coeur D Alene, ID 83814-5150

Mailing address

601 E Front Ave Ste 401
Coeur D Alene, ID 83814-5150
Phone (208) 292-4045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO2 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
I20230815000585 IA Practitioner - Internal Medicine 1951726504 Reassigns benefits to 1 organization
I20260323002651 MO Practitioner - Internal Medicine 1951726504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group Iowa PCGroup PAC ID 2860572484, 21 clinicians

Practice addresses (Care Compare)

1001 Pennsylvania Ave
Ottumwa, IA 52501-2186
Phone (641) 684-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.64 of 100Reported as group
Quality
84.86
Improvement activities
40
Cost
88.66

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Iowa PC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
RCHP Ottumwa LLC Past Accepting new patients

Locations

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

Interoperability endpoints

  • Direct secure messaging: basima.khan.1@19847.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1295359560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E FRONT AVE STE 401",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145150",
            "telephone_number": "208-292-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E FRONT AVE STE 401",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145150",
            "telephone_number": "208-292-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "BASIMA",
        "middle_name": "HASAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "DO-06452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.