Individual provider Active NPI

Ameera Kiran Khan, MD

  • Internal Medicine Physician
  • Riverside, CA
National Provider Identifier
1356704522
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A163328 Issued in CA
Practice address
4445 Magnolia Ave
Riverside Community Hospital - Gme Office
Riverside, CA 92501-4135
Phone
(951) 788-3000
NPI assigned
Apr 4, 2016
Last updated
Dec 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X A163328 CA Primary

Addresses

Primary practice location

4445 Magnolia Ave
Riverside Community Hospital - Gme Office
Riverside, CA 92501-4135

Mailing address

12223 Highland Ave Ste 106-526
Rancho Cucamonga, CA 91739-2574
Phone (510) 909-7122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200710001683 CA Practitioner - Internal MedicinePractitioner - Hospitalist 6608160122 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anees MD IncGroup PAC ID 2264979913, 2 clinicians

Practice addresses (Care Compare)

800 S Main St
Corona, CA 92882-3420
Phone (951) 737-4343

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A163328CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anees MD, Inc Internal Medicine CurrentSince May 19, 2024 Accepting new patients
Sunrise Medical Associates Inc CurrentSince Jul 1, 2020 Accepting new patients
Hospitalist Group of Montebello Inc CurrentSince Jul 1, 2020 Accepting new patients
Providence Healthcare Partners,, Inc CurrentSince Oct 1, 2020 Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

12223 Highland Ave
Ste 106526
Rancho Cucamonga, CA 91739
Phone (714) 676-3880

12223 Highland Ave
#106526
Rch Cucamonga, CA 91739

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

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

4445 Magnolia Ave
Ofc
Riverside, CA 92501

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1356704522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12223 HIGHLAND AVE STE 106-526",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392574",
            "telephone_number": "510-909-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 MAGNOLIA AVE",
            "address_2": "RIVERSIDE COMMUNITY HOSPITAL - GME OFFICE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014135",
            "telephone_number": "951-788-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AMEERA",
        "middle_name": "KIRAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A163328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.