Individual provider Active NPI

Mohammad Umar Khan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Southfield, MI
National Provider Identifier
1306475561
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901400483 Issued in MI
Practice address
18000 W 9 Mile Rd Ste 525
Southfield, MI 48075-4080
Phone
(248) 327-6196
Fax
(877) 311-5596
NPI assigned
Apr 8, 2020
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901400483 MI Primary

Addresses

Primary practice location

18000 W 9 Mile Rd Ste 525
Southfield, MI 48075-4080

Mailing address

18000 W 9 Mile Rd Ste 525
Southfield, MI 48075-4080
Phone (248) 327-6196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230607000398 MI Practitioner - Podiatry 6406213495 Reassigns benefits to 2 organizations
I20240619000643 OH Practitioner - Podiatry 6406213495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Traveling Physician Services PCGroup PAC ID 5395253322, 3 clinicians
Integrated Visiting Physician Solutions PCGroup PAC ID 6507082484, 2 clinicians
Gentle Footcare LLCGroup PAC ID 0345152955, 18 clinicians

Practice addresses (Care Compare)

18000 W 9 Mile Rd
Suite 525
Southfield, MI 48075-4080
Phone (248) 327-6196

4913 Harroun Rd
Sylvania, OH 43560-2197
Phone (419) 885-4471

609 Ford St
Maumee, OH 43537-1947
Phone 4198935539228

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.77 of 100Reported as apm
Quality
75.13
Promoting interoperability
88.5
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue94
Removal of skin lesions18
Removal of nail tissue1395
Removal or shaving of skin growth512
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Footcare LLC Podiatrist CurrentSince Dec 1, 2024 Accepting new patients
Traveling Physician Services PC CurrentSince Jun 2, 2025 Accepting new patients
Podiatric Associates of Northwest Ohio, LLC Foot & Ankle Surgery CurrentSince Jun 1, 2024 Accepting new patients
Podiatric Associates of Northwest Ohio, LLC Podiatrist CurrentSince Jun 1, 2024 Accepting new patients
Gentle Footcare LLC Foot & Ankle Surgery Current Accepting new patients
Integrated Visiting Physician Solutions PC CurrentSince Jun 1, 2024 Accepting new patients
Gentle Footcare LLC CurrentSince Dec 1, 2024 Accepting new patients
Podiatric Associates of Northwest Ohio, LLC Podiatrist Past Accepting new patients

Locations

18000 W 9 Mile Rd
Ste 525
Southfield, MI 48075
Phone (248) 327-6195

3255 E Livingston Ave
Columbus, OH 43227
Phone (614) 239-0399

609 Ford St
Maumee, OH 43537
Phone (419) 893-5539

4913 Harroun Rd
Sylvania, OH 43560
Phone (419) 841-3003

1414 S Byrne Rd
Toledo, OH 43614
Phone (419) 381-9977

3905 W Sylvania Ave
Toledo, OH 43623
Phone (419) 472-7177

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

Interoperability endpoints

  • Direct secure messaging: mkhan2689386@direct.bsmhealth.org
  • Direct secure messaging: mkhan607597@direct.hfhs.org
  • Direct secure messaging: mkhandpm@ofas.medentdirect.com

Organizations & group practices 8

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 3

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1306475561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 W 9 MILE RD STE 525",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754080",
            "telephone_number": "248-327-6196",
            "fax_number": "877-311-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 W 9 MILE RD STE 525",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754080",
            "telephone_number": "248-327-6196",
            "fax_number": "877-311-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD",
        "middle_name": "UMAR",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901400483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.