Active NPI
Mohammad Naeemullah Khan, M.D.
- Gastroenterology Physician
- Oxnard, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- C-183205
- Practice address
- 2241 Wankel Way Ste a
Oxnard, CA 93030-0191 - Phone
- (805) 983-0521
- Fax
- (805) 983-4186
- NPI assigned
- Jun 14, 2006
- Last updated
- Apr 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD2022-1353 | NM | |
| Gastroenterology Physician | 207RG0100X | 036.151604 | IL | |
| Gastroenterology Physician | 207RG0100X | 29905 | WV | |
| Gastroenterology Physician | 207RG0100X | C-183205 | CA | Primary |
| Gastroenterology Physician | 207RG0100X | C0072 | KY | |
| Gastroenterology Physician | 207RG0100X | 30038 | AZ | |
| Gastroenterology Physician | 207RG0100X | 1020342 | MA |
Addresses
Primary practice location
2241 Wankel Way Ste a
Oxnard, CA 93030-0191
Mailing address
525 N 18TH St Ste 601
Phoenix, AZ 85006-4101
Phone (602) 307-9112
Other practice location 1
225 Medical Center Dr Ste 308
Paducah, KY 42003-7915
Phone (270) 443-0777
Other practice location 2
630 W Maple St
Farmington, NM 87401-6113
Phone (505) 609-6349
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 639130 | Medicaid | AZ | |
| 110217659A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, KY, NM, CA, MA, AL, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sonora Community Hospital
Practice addresses (Care Compare)
1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4444
1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000
1700 Springhill Ave
Suite 100
Mobile, AL 36604-1416
Phone (251) 435-1200
193 Fairview LN
Sonora, CA 95370-4828
Phone (209) 536-5100
225 Medical Ctr Dr
Suite 308
Paducah, KY 42003-7915
Phone (270) 443-0777
3329 W Deyoung St
Marion, IL 62959-5884
Phone (618) 998-7177
630 W Maple St
SJHP Gastroenterology
Farmington, NM 87401-6113
Phone (505) 609-6349
680 Guzzi LN
Suite 206
Sonora, CA 95370-5288
Phone (209) 536-5760
810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 393-7000
Hospital & facility affiliations
- Adventist Health Sonora
- Mercy Health - Lourdes Hospital
- San Juan Regional Medical Center Inc
- T J Samson Community Hospital
- Contra Costa Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 123 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 157 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-183205 | CA | MD | Gastroenterology Physician |
| 036.151604 | IL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonora Community Hospital | Internal Medicine | Current | Accepting new patients |
| Sonora Community Hospital | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| St. Joseph's Hospital and Medical Center | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Imc-Diagnostic and Medical Clinic LLC | Internal Medicine | Current | Accepting new patients |
| T J Samson Community Hospital | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Imc-Diagnostic and Medical Clinic LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Gastroenterology | Current | Accepting new patients |
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Sonora Community Hospital | Current | Accepting new patients | |
| Vincentian Physician Services LLC | Internal Medicine | Current | Accepting new patients |
| Sonora Community Hospital | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Advanced Care Gastro LLC | Gastroenterology | Past | Accepting new patients |
| Prisma Community Care | Past | Accepting new patients | |
| Mercy Health Physicians Kentucky LLC | Gastroenterology | Past | Accepting new patients |
Locations (25 of 30)
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
1700 Spring Hill Ave
Ste 100
Mobile, AL 36604
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
File 56765
Los Angeles, CA 90074
1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803
193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100
193 Fairview Ln
Ste C
Sonora, CA 95370
Phone (209) 532-3124
680 Guzzi Ln
Ste 105
Sonora, CA 95370
Phone (209) 532-0126
680 Guzzi Ln
Ste 206
Sonora, CA 95370
Phone (209) 536-5760
303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050
3329 W Deyoung St
Marion, IL 62959
Phone (618) 985-8007
509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939
1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141
310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111
1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830
225 Medical Center Dr
Ste 308
Paducah, KY 42003
Phone (270) 441-4750
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
28 Newton St
Southborough, MA 01772
Phone (508) 334-3068
21 Eastern Ave
Worcester, MA 01605
Phone (508) 334-8419
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BAFJCA
- mkhan121751@direct.challiance.masshiway.net
- mkhan845210@direct.bsmhealth.org
Organizations & group practices 30
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.
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1447201066
-
- Surgery Physician
- Paducah, KY
- NPI 1700408093
-
dba SJHP Gastroenterology
- Gastroenterology Physician
- Farmington, NM
- NPI 1639662901
-
- Family Medicine Physician
- Glasgow, KY
- NPI 1477609865
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1851698310
Internal Medicine
-
dba Deaconess IL Specialty 3331 DeYoung
- Surgery Physician
- Marion, IL
- NPI 1972210235
-
dba Greenley Primary Care
- Family Medicine Physician
- Sonora, CA
- NPI 1033100854
-
dba Adventist Health Sonora
- Radiation Oncology Clinic/Center
- Sonora, CA
- NPI 1891732418
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
dba Lovelace Medical Group
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
dba SJHMC Trauma Services
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1255382412
Hospital & facility affiliations 19
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sierra Cardiology Department
- Cardiovascular Disease Physician
- Sonora, CA
- NPI 1003807066
Hospital
-
dba Greenley Primary Care
- Family Medicine Physician
- Sonora, CA
- NPI 1033100854
Hospital
-
dba Foothill Primary Care
- General Practice Physician
- Sonora, CA
- NPI 1063403129
Hospital
-
dba Groveland Family Medical Center
- Family Medicine Physician
- Groveland, CA
- NPI 1356332274
Hospital
-
dba Arnold Family Medical Center
- Family Medicine Physician
- Arnold, CA
- NPI 1467443382
Hospital
-
dba Sierra Vascular Clinic
- Vascular Surgery Physician
- Sonora, CA
- NPI 1598962045
Hospital
-
dba Cedarwood Internal Medicine
- Internal Medicine Physician
- Sonora, CA
- NPI 1659362614
Hospital
-
dba Twain Harte Family Medical Center
- Family Medicine Physician
- Sonora, CA
- NPI 1740271345
Hospital
-
dba Adventist Health Sonora
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
-
dba Angels Camp Family Medical Center
- Family Medicine Physician
- Angels Camp, CA
- NPI 1821089749
Hospital
-
dba Adventist Health Sonora
- Radiation Oncology Clinic/Center
- Sonora, CA
- NPI 1891732418
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1295778215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 N 18TH ST STE 601",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850064101",
"telephone_number": "602-307-9112",
"fax_number": "602-307-9155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2241 WANKEL WAY STE A",
"city": "OXNARD",
"state": "CA",
"postal_code": "930300191",
"telephone_number": "805-983-0521",
"fax_number": "805-983-4186"
}
],
"practiceLocations": [
{
"address_1": "225 Medical Center Dr Ste 308",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420037915",
"country_code": "US",
"telephone_number": "270-443-0777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "630 W Maple St",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874016113",
"country_code": "US",
"telephone_number": "505-609-6349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "MOHAMMAD",
"middle_name": "NAEEMULLAH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NM",
"license": "MD2022-1353",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036.151604",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WV",
"license": "29905",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "C-183205",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "KY",
"license": "C0072",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AZ",
"license": "30038",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "1020342",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "639130",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110217659A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.