Akhter S. Khan, M.D.
Individual provider Active NPI Emergency Medicine Physician · Russellville, KY
NPI 1306895081 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1306895081
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 33504 (KY)
- Practice address
- 1625 South Nashville Rd
Russellville, KY 42276-8834 - Phone
- (270) 746-9408
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031230000305 | KY | Practitioner - Internal Medicine |
5496653370 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112
1501 S Dixie St
Park, KY 42749
Phone (270) 745-1255
1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 33504 | KY | Yes |
Addresses
Primary practice location
1625 South Nashville Rd
Russellville, KY 42276-8834
Mailing address
200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64353048 | Medicaid | KY |
Other providers in Russellville, KY
- Ashley N Jones
- Frank Jeffrey Jones
- Keith A Jones
- Pamela Young Jones
- Kentucky in-Home Partner-II, LLC
- Shannon Knoblauch
- Pamela Kay Lacefield
- Billy Jawuan Larkin
- Launch Therapy Clinic
- Lawrence Joseph Gotts DO PLLC
All providers in Russellville, KY · Emergency Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.