Ameer A Khan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD203860 Issued in LA

Practice address

1890 W Gauthier Rd Ste 155
Lake Charles, LA 70605-7119

Phone

(337) 480-5550

Fax

(337) 480-5568

NPI assigned

Jul 25, 2007

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 2

Medicare fee-for-service enrollment

Enrolled in LA

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

Family Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Charles Medical Services Family Practice Associates, LLC 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitalcaring Group Home health agency, Basile, LA, CCN 197038
• Allegiance Home Health of Southwest Louisiana, LLC Home health agency, Deridder, LA, CCN 197520
• Centerwell Home Health Home health agency, Jennings, LA, CCN 197315
• Elara Caring Home health agency, Jennings, LA, CCN 197679
• Southern Home Health Home health agency, Lake Charles, LA, CCN 197766
• Harbor Hospice of Lake Charles, LP Hospice, Lake Charles, LA, CCN 191625
• Brighton Bridge Hospice, Oberlin, LA, CCN 191627
• Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060
• West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013
• Christus Ochsner Lake Area Hospital Hospital, Lake Charles, LA, CCN 190201
• Sage Specialty Hospital of Lake Charles Long-term care hospital, Lake Charles, LA, CCN 192013
• Resthaven Nursing & Rehab Center, LLC Nursing home, Lake Charles, LA, CCN 195414

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akhan5281910@direct.casso.us.com

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.

• Lake Charles Medical Services Family Practice Associates, LLC

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1396926069

  Family Medicine, LA

  Medicare reassignment Care Compare group NPD
• Lake Charles Urgent Care

  • Urgent Care Clinic/Center
  • Lake Charles, LA
  • NPI 1306135892

  LA

  Medicare reassignment NPD
• Resthaven Nursing & Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Lake Charles, LA
  • NPI 1003897158
  NPD (past)
• Southwest Louisiana Hospital Association Inc

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1972549855
  NPD (past)

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

• Acadian Home Health Care Services, LLC

  • Home Health Agency
  • Lake Charles, LA
  • NPI 1326095209
  Care Compare affiliation
• Allegiance Home Health of Southwest Louisiana, LLC

  • Home Health Agency
  • Deridder, LA
  • NPI 1740844620
  Care Compare affiliation
• Brighton Bridge Hospice LLC

  • Community Based Hospice Care Agency
  • Oberlin, LA
  • NPI 1629007794

  Hospice

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • General Acute Care Hospital
  • Sulphur, LA
  • NPI 1083992382

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • General Acute Care Hospital
  • Sulphur, LA
  • NPI 1093719932

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Multi-Specialty Clinic/Center
  • Sulphur, LA
  • NPI 1215560974

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Otolaryngology/Facial Plastic Surgery Physician
  • Sulphur, LA
  • NPI 1366700387

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Obstetrics & Gynecology Physician
  • Sulphur, LA
  • NPI 1619221348

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Clinic/Center
  • Sulphur, LA
  • NPI 1801133913

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Urology Physician
  • Sulphur, LA
  • NPI 1942552310

  Hospital

  Care Compare affiliation
• Christus Health Southwestern Louisiana

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1548796378

  Hospital

  Care Compare affiliation
• Evangeline Home Health LLC

  • Home Health Agency
  • Basile, LA
  • NPI 1457710659
  Care Compare affiliation

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1376743575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122539 DEPT 2539",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 W GAUTHIER RD STE 155",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706057119",
            "telephone_number": "337-480-5550",
            "fax_number": "337-480-5568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Sam Houston Jones Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706115644",
            "country_code": "US",
            "telephone_number": "337-480-8989",
            "fax_number": "337-480-8988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 Aster St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018824",
            "country_code": "US",
            "telephone_number": "337-480-8900",
            "fax_number": "337-480-8901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AMEER",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD203860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD.203860",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005991",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tariq A. Khan, M.D.
• Kiddos Therapy Konnection LLC
• Kidney Associates of Southwest Louisiana , L.L.C.

• All providers in Lake Charles, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.