Anwar M Khan, MD

Primary specialty

Therapeutic Radiology PhysicianTaxonomy code 2085R0203X

License

041428 Issued in CT

Practice address

536 Saybrook Rd
Middletown, CT 06457-4783

Phone

(860) 358-2100

Fax

(860) 358-2110

NPI assigned

Oct 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Radiation Oncology

Education

Yale University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Connecticut Radiation Oncology PCGroup PAC ID 5395847966, shared by 2 NPIs, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Central Connecticut Radiation Oncology PC

  • Radiation Oncology Physician
  • New Britain, CT
  • NPI 1841336849
  Medicare reassignment NPD
• Central Connecticut Radiation Oncology PC

  • Radiation Oncology Physician
  • Middletown, CT
  • NPI 1902962905
  Medicare reassignment NPD
• Radiation Oncology Physicians of Connecticut, LLC

  • Radiation Oncology Physician
  • Norwich, CT
  • NPI 1346665346
  Medicare reassignment NPD

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

• Middlesex Hospital

  • General Acute Care Hospital
  • Middletown, CT
  • NPI 1760454334
  Care Compare affiliation

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1366431967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574783",
            "telephone_number": "860-358-2100",
            "fax_number": "860-358-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ANWAR",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "CT",
            "license": "041428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004000121",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eucharia Mambo Kenta-Bibi, MD
• Karen Keramidas, RN
• Richard M. Ketai, M.D.
• Kevin O'Shea, PSYD LLC
• Hilary Osga Khacherian, OTRL
• Moazzem Hossain Khan, M.D.
• Rehan Khan
• Ali Khayyer, DDS
• Pamela Jean Kieras, MS LADC
• Kim Abram LLC

• Therapeutic Radiology Physician in Middletown, CT
• Providers in Middletown, CT by specialty
• Therapeutic Radiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.

Verify at the official NPI Registry.