NPIMap

Individual provider Active NPI

Ameer A Khan, M.D.

  • Family Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1376743575
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD203860 LA Primary

Addresses

Primary practice location

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

Mailing address

PO Box 122539 Dept 2539
Dallas, TX 75312-0001
Phone (337) 494-2921

Other practice location 1

217 Sam Houston Jones Pkwy Ste 104
Lake Charles, LA 70611-5644
Phone (337) 480-8989

Other practice location 2

2750 Aster St
Lake Charles, LA 70601-8824
Phone (337) 480-8900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029001094 LA Practitioner - Family Practice 7416141833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1890 W Gauthier Rd
Suite 155
Lake Charles, LA 70605-7119
Phone (337) 480-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue146
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD203860LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Charles Urgent Care CurrentSince Jun 8, 2012 Accepting new patients
Lake Charles Medical Services Family Practice Associates, LLC Family Medicine CurrentSince Aug 1, 2010 Accepting new patients
Resthaven Nursing & Rehabilitation Center, LLC Past Accepting new patients
Southwest Louisiana Hospital Association Inc Past Accepting new patients

Locations

1890 W Gauthier Rd
Ste 155
Lake Charles, LA 70605
Phone (337) 477-6061

1905 Country Club Rd
Lake Charles, LA 70605
Phone (337) 990-8000

217 Sam Houston Jones Pkwy
Ste 104
Lake Charles, LA 70611
Phone (337) 480-8989

2750 Aster St
Lake Charles, LA 70601
Phone (337) 480-8900

2800 2nd Ave
Ste C
Lake Charles, LA 70601
Phone (337) 474-2082

4345 Nelson Rd
Ste 102
Lake Charles, LA 70605
Phone (337) 439-2020

Interoperability endpoints

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

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.