Individual provider Active NPI

Muhammad F Khan, M.D.

  • Cardiovascular Disease Physician
  • West Plains, MO
National Provider Identifier
1366575151
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2012027439 Issued in MO
Practice address
1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone
(417) 257-9111
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2012027439 MO Primary

Addresses

Primary practice location

1100 N Kentucky Ave
West Plains, MO 65775-2029

Mailing address

1100 N Kentucky Ave
West Plains, MO 65775-2029

Other practice location 1

1011 Bowles Ave
Suite 300
Richmond Heights, MO 63117-6311
Phone (636) 496-5048

Other identifiers 2

IdentifierTypeStateIssuer
A91759OtherCAMEDICAL DOCTOR'S LICENSE
1366575151MedicaidMO

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address mkhan416383@direct-ehr-ssmhc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20121004000043 MO Practitioner - Cardiovascular Disease (Cardiology) 4183719222 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians

Practice addresses (Care Compare)

1100 N Kentucky Ave
West Plains, MO 65775-2029

Hospital & facility affiliations

  • Ozarks Healthcare Hospital, West Plains, MO, CCN 260078
  • Texas County Memorial Hospital Hospital, Houston, MO, CCN 260024
  • Mercy St Francis Hospital Hospital, Mountain View, MO, CCN 261335
  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040
  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting33
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91759CAMDPharmacist
2012027439MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis Cardiovascular Disease CurrentSince Feb 1, 2022 Accepting new patients
Ozarks Medical Center CurrentSince Aug 8, 2012 Accepting new patients
Citizens Memorial Healthcare CurrentSince Oct 21, 2022 Accepting new patients
Citizens Memorial Healthcare CurrentSince Oct 21, 2022 Accepting new patients
Ozarks Medical Center CurrentSince Aug 8, 2012 Accepting new patients

Locations

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

1011 Bowles Ave
Ste 300
Fenton, MO 63026
Phone (636) 496-5000

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

1115 Alaska St
Ste 114
West Plains, MO 65775
Phone (417) 257-5950

Interoperability endpoints

  • Direct secure messaging: muhammadkhan@omcmo.allscriptsdirect.net
  • Direct secure messaging: mkhan416383@direct-ehr-ssmhc.com
  • Direct secure messaging: dr.khan@mhccaremail.com

Organizations & group practices 5

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1366575151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752029",
            "telephone_number": "417-257-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Bowles Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Richmond Heights",
            "state": "MO",
            "postal_code": "631176311",
            "country_code": "US",
            "telephone_number": "636-496-5048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUHAMMAD",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2012027439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DOCTOR'S LICENSE",
            "identifier": "A91759",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366575151",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR-API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1011 Bowles Ave",
            "address_2": "Suite 300",
            "city": "Richmond Heights",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631176311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkhan416383@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mkhan416383@direct-ehr-ssmhc.com",
            "address_1": "1011 Bowles Ave",
            "address_2": "Suite 300",
            "city": "Richmond Heights",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631176311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.