Individual provider Active NPI

Bobby V Khan, M.D.

  • Cardiovascular Disease Physician
  • Atlanta, GA
National Provider Identifier
1306935283
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
37251 Issued in GA
Practice address
5673 Peachtree Dunwoody Rd
Suite 440
Atlanta, GA 30342-1731
Phone
(404) 296-1130
Fax
(404) 600-4466
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 37251 GA Primary

Addresses

Primary practice location

5673 Peachtree Dunwoody Rd
Suite 440
Atlanta, GA 30342-1731

Mailing address

145 Travertine TRL
Alpharetta, GA 30022-5196
Phone (404) 296-1130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20051122000032 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4385535640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Tennessee, HSC, College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

122 Washington St
Suite 7
Jefferson, GA 30549-6660
Phone (706) 367-0830

5671 Peachtree Dunwoody Rd
Suite 550
Atlanta, GA 30342-5013
Phone (404) 296-1130

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37251GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Consulting Empire, LLC CurrentSince Apr 8, 2020 Accepting new patients
Atlanta Clinical Research Centers LLC CurrentSince May 1, 2016 Accepting new patients
Atlanta Clinical Research Centers LLC CurrentSince Jul 12, 2016 Accepting new patients
Women's Imaging Specialists - Norcross, LLC Past Accepting new patients

Locations

11680 Great Oaks Way
Ste 170
Alpharetta, GA 30022
Phone (404) 296-1130

4760 Austell Rd
Ste 7
Austell, GA 30106
Phone (404) 600-4343

122 Washington St
Ste 7
Jefferson, GA 30549
Phone (706) 367-0830

5671 Peachtree Dunwoody Rd
Ste 550
Sandy Springs, GA 30342
Phone (404) 296-1130

5673 Peachtree Dunwoody Rd
Ste 440
Sandy Springs, GA 30342
Phone (404) 296-1130

Organizations & group practices 5

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1306935283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 TRAVERTINE TRL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225196",
            "telephone_number": "404-296-1130",
            "fax_number": "404-600-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE 440",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421731",
            "telephone_number": "404-296-1130",
            "fax_number": "404-600-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "BOBBY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "37251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.