NPIMap

Individual provider Active NPI

Ali Akram Khan, MD

  • Interventional Cardiology Physician
  • Flint, MI
National Provider Identifier
1356873012
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
305489 Issued in NY
Practice address
G3230 Beecher Rd Ste 1
Flint, MI 48532-3604
Phone
(810) 342-5800
Fax
(810) 342-5810
NPI assigned
Mar 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 305489 NY
Internal Medicine Physician 207R00000X 5315213109 MI
Interventional Cardiology Physician 207RI0011X 0101286538 VA
Student in an Organized Health Care Education/Training Program 390200000X 5315213109 MI
Interventional Cardiology Physician 207RI0011X 305489 NY Primary

Addresses

Primary practice location

G3230 Beecher Rd Ste 1
Flint, MI 48532-3604

Mailing address

G3230 Beecher Rd Ste 1
Flint, MI 48532-3604
Phone (810) 342-5800

Other practice location 1

6071 W Outer Dr
Sinai Grace Hospital Department of Medicine - 4 Main
Detroit, MI 48235-2624
Phone (313) 966-7434

Other practice location 2

101 Nicholls Rd Stony Brook, NY 11790
Stony Brook, NY 11790
Phone (631) 689-8333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY, VA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200102002358 MI Practitioner - Internal Medicine 1850668724 Reassigns benefits to 2 organizations
I20200804003097 NY Practitioner - Interventional CardiologyPractitioner - Hospitalist 1850668724 Reassigns benefits to 1 organization
I20251010002469 VA Practitioner - Advanced Heart Failure and Transplant Cardiology 1850668724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

414 Park Ave
Danville, VA 24541-9998
Phone (434) 857-3600

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305489NYMDInterventional Cardiology Physician
0101286538VAMDInterventional Cardiology Physician
5315213109MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Urgent Care, P. C. Internal Medicine Current Accepting new patients
Lakeside Urgent Care, P.C. Internal Medicine CurrentSince Nov 13, 2019 Accepting new patients
New York University Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Oxford Urgent Care P L C CurrentSince Nov 13, 2019 Accepting new patients
Centra Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
New York University Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients

Locations

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

72 S Washington St
Ste 102
Oxford, MI 48371
Phone (248) 236-8333

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

1613 Oakwood St
Bedford, VA 24523
Phone (540) 425-7800

414 Park Ave
Danville, VA 24541
Phone (434) 791-4892

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: akhan731202@nyumc.direct-ci.com
  • Direct secure messaging: akhan841959@direct.hfhs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1356873012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3230 BEECHER RD STE 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323604",
            "telephone_number": "810-342-5800",
            "fax_number": "810-342-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3230 BEECHER RD STE 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323604",
            "telephone_number": "810-342-5800",
            "fax_number": "810-342-5810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6071 W Outer Dr",
            "address_2": "Sinai Grace Hospital Department of Medicine - 4 Main",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482352624",
            "country_code": "US",
            "telephone_number": "313-966-7434",
            "fax_number": "313-966-1738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Nicholls Rd Stony Brook, NY 11790",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "11790",
            "country_code": "US",
            "telephone_number": "631-689-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ALI AKRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "305489",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5315213109",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101286538",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5315213109",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "305489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.