NPIMap

Individual provider Active NPI

Rizwan Khan, M.D.

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1376876102
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301094499 Issued in MI
Practice address
4967 Crooks Rd
Suite 130
Troy, MI 48098-5801
Phone
(248) 952-1601
Fax
(248) 952-0192
NPI assigned
Sep 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301094499 MI Primary

Addresses

Primary practice location

4967 Crooks Rd
Suite 130
Troy, MI 48098-5801

Mailing address

47530 Alpine Dr Ste 130
Novi, MI 48374-4411
Phone (734) 462-0340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20130821000957 MI Practitioner - Internal Medicine 8527201607 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unified Academic Physicians PCGroup PAC ID 0547746166, 19 clinicians
Pioneer Medical Group PLLCGroup PAC ID 5092075598, 21 clinicians

Practice addresses (Care Compare)

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000

6001 W Outer Dr
Suite 114
Detroit, MI 48235-2626
Phone (313) 966-9444

6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3300

Hospital & facility affiliations

  • Residential Hospice Hospice, Troy, MI, CCN 231619
  • Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • The Villa at City Center Nursing home, Warren, MI, CCN 235325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301094499MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Michigan PC Internal Medicine CurrentSince Jun 24, 2013 Accepting new patients
Detroit Medical Consultants PC Internal Medicine CurrentSince Jul 11, 2020 Accepting new patients
Pioneer Medical Group PLLC Internal Medicine CurrentSince Dec 19, 2017 Accepting new patients
Unified Academic Physicians PC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Inpatient Consultants of Michigan PC Internal Medicine CurrentSince Jun 24, 2013 Accepting new patients
Rizwan Khan PLLC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
VHS Sinai-Grace Hospital Inc Past Accepting new patients

Locations

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

6071 W Outer Dr
Ste 7
Detroit, MI 48235
Phone (313) 966-3300

4100 Woodward Ave
Detroit, MI 48201
Phone (313) 449-7954

6001 W Outer Dr
Ste 114
Detroit, MI 48235
Phone (313) 966-9095

6071 W Outer Dr
#7E
Detroit, MI 48235
Phone (313) 966-4797

17177 N Laurel Park Dr
Ste 439
Livonia, MI 48152

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

4967 Crooks Rd
Ste 130
Troy, MI 48098
Phone (248) 952-1601

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

Interoperability endpoints

  • Direct secure messaging: rkhan1134599@direct.hfhs.org
  • Direct secure messaging: rkhan443228@direct.hfhs.org

Organizations & group practices 8

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 12

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

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1376876102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47530 ALPINE DR STE 130",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483744411",
            "telephone_number": "734-462-0340",
            "fax_number": "734-462-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4967 CROOKS RD",
            "address_2": "SUITE 130",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985801",
            "telephone_number": "248-952-1601",
            "fax_number": "248-952-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RIZWAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301094499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.