Individual provider Active NPI

Rakhshanda A Khan, M.D.

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1306105341
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34361 Issued in AL
Practice address
401 Lowell Dr SE Ste 19
Huntsville, AL 35801-3738
Phone
(256) 801-8649
Fax
(256) 270-8175
NPI assigned
May 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34361 AL Primary

Addresses

Primary practice location

401 Lowell Dr SE Ste 19
Huntsville, AL 35801-3738

Mailing address

401 Lowell Dr SE Ste 19
Huntsville, AL 35801-3738
Phone (256) 801-8649

Other identifiers 2

IdentifierTypeStateIssuer
224275MedicaidAL
176519MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150810002937 AL Practitioner - Family Practice 8123257029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

401 Lowell Dr SE
Suite 19
Huntsville, AL 35801-3738
Phone (256) 801-8649

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34361ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abidi Family Practice LLC Family Medicine CurrentSince Apr 13, 2021 Accepting new patients

Locations

420 Lowell Dr SE
Ste 201
Huntsville, AL 35801
Phone (256) 535-5944

420 Lowell Dr SE
Ste 103
Huntsville, AL 35801
Phone (256) 535-5940

401 Lowell Dr SE
Ste 19
Huntsville, AL 35801
Phone (256) 265-9870

Interoperability endpoints

  • Direct secure messaging: rakhshanda.khan.1@22416.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22416/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 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": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1306105341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 LOWELL DR SE STE 19",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013738",
            "telephone_number": "256-801-8649",
            "fax_number": "256-270-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LOWELL DR SE STE 19",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013738",
            "telephone_number": "256-801-8649",
            "fax_number": "256-270-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RAKHSHANDA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "34361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "224275",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176519",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.