Individual provider Active NPI

Imran Ali Khan, M.D.

  • Emergency Medicine Physician
  • Toledo, OH
National Provider Identifier
1336596964
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C184128 Issued in CA
Practice address
2213 Cherry St
Toledo, OH 43608
Phone
(419) 251-3232
NPI assigned
May 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 57972 AZ
Emergency Medicine Physician 207P00000X 35.133662 OH
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X C184128 CA Primary

Addresses

Primary practice location

2213 Cherry St
Toledo, OH 43608

Mailing address

1030 Valley Bluff Dr Apt 16
Perrysburg, OH 43551-2797
Phone (928) 916-1767

Other practice location 1

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 832-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191003002291 AZ Practitioner - Emergency Medicine 9133474570 Reassigns benefits to 4 organizations
I20230317002067 CA Practitioner - Emergency Medicine 9133474570 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Group of Arizona Professional CorporationGroup PAC ID 1355596644, 102 clinicians
Cep America - CaliforniaGroup PAC ID 6103739131, shared by 2 NPIs, 1,278 clinicians

Practice addresses (Care Compare)

13677 W McDowell Rd
Goodyear, AZ 85395-2635
Phone (623) 882-1500

1555 Soquel Dr
Santa Cruz, CA 95065-1705
Phone (831) 462-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57972AZMDEmergency Medicine Physician
C184128CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-Arizona, PC Emergency Medicine CurrentSince Sep 17, 2019 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Cep America - Arizona PC Emergency Medicine CurrentSince Sep 17, 2019 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America- Arizona, PC Emergency Medicine Current Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Oct 1, 2020 Accepting new patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Jul 12, 2019 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Oct 28, 2020 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients

Locations

2977 E Germann Rd
Chandler, AZ 85286
Phone (480) 732-7540

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

1921 W Hospital Dr
Tucson, AZ 85704
Phone (520) 544-5200

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1555 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1336596964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 VALLEY BLUFF DR APT 16",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512797",
            "telephone_number": "928-916-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43608",
            "telephone_number": "419-251-3232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10401 W Thunderbird Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513004",
            "country_code": "US",
            "telephone_number": "623-832-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "IMRAN",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "57972",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.133662",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C184128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.