Active NPI
Ahsan Y Khan, MD
- Psychiatry Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 28725
- Practice address
- 2617 General Pershing Blvd
Oklahoma City, OK 73107-6437 - Phone
- (405) 858-1700
- NPI assigned
- Jun 16, 2005
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 28725 | OK | Primary |
| Psychiatry Physician | 2084P0800X | 2010028278 | MO |
Addresses
Primary practice location
2617 General Pershing Blvd
Oklahoma City, OK 73107-6437
Mailing address
PO Box 12978
Oklahoma City, OK 73157-2978
Other practice location 1
1438 S Grand Blvd
Saint Louis, MO 63104-1027
Phone (314) 977-4826
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100373000A | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11500 State Hwy 121
Suite 510
Frisco, TX 75035-9348
Phone (469) 200-4093
13101 Memorial Springs CT
Oklahoma City, OK 73114-2226
Phone (405) 438-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.26 of 100
- Quality
- 53.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Springs Physician Group LLC | Psychiatry | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Nazimuddin Mohammed MD PA | Current | Accepting new patients | |
| Oakwood Springs, LLC | Past | Accepting new patients | |
| Ascension Via Christi Hospitals Wichita Inc. | Past | Accepting new patients |
Locations
13101 Memorial Springs Ct
Oklahoma City, OK 73114
Phone (405) 438-3000
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
920 Stanton L Young Blvd
#274
Oklahoma City, OK 73104
11500 State Highway 121
Ste 510
Frisco, TX 75035
Phone (469) 200-4093
11500 State Highway 121
Ste 93
Frisco, TX 75035
Phone (469) 200-4093
11500 State Highway 121
Ste 930
Frisco, TX 75035
Phone (469) 200-4083
281 W Southlake Blvd
Bldg 10
Southlake, TX 76092
Phone (469) 200-4093
Interoperability endpoints
- akhan22971@ouhealth.direct-ci.net
Organizations & group practices 7
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.
-
- Psychiatry Physician
- Oklahoma City, OK
- NPI 1326588807
-
dba Compassionate Psychiatric Services
- Neurology Physician
- Frisco, TX
- NPI 1710495569
-
dba Ou Health Partners
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
dba Northcare
- Mental Health Counselor
- Oklahoma City, OK
- NPI 1821120189
-
dba OUHP Orthotics & Prosthetic
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
dba Ascension Via Christi Physician Group
- Family Medicine Physician
- Wichita, KS
- NPI 1871589333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1346245479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12978",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731572978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 GENERAL PERSHING BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731076437",
"telephone_number": "405-858-1700"
}
],
"practiceLocations": [
{
"address_1": "1438 S Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041027",
"country_code": "US",
"telephone_number": "314-977-4826",
"fax_number": "314-977-4876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "AHSAN",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "28725",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2010028278",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100373000A",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.