Individual provider Active NPI

Yulia Khan, MD

  • MOHS-Micrographic Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1386808368
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
51420 Issued in AZ
Practice address
740 E Highland Ave Ste 101
Phoenix, AZ 85014-3609
Phone
(602) 264-9044
NPI assigned
Jul 18, 2008
Last updated
Jul 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 51966 MN
Dermatology Physician 207N00000X 12323 ND
MOHS-Micrographic Surgery Physician 207ND0101X 51420 AZ Primary

Addresses

Primary practice location

740 E Highland Ave Ste 101
Phoenix, AZ 85014-3609

Mailing address

740 E Highland Ave Ste 101
Phoenix, AZ 85014-3609
Phone (602) 264-9044

Other identifiers 3

IdentifierTypeStateIssuer
ENROLLEDMedicaidIA
P00937246OtherMNRAILROAD MEDICARE
ENROLLEDMedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121031000133 ND Practitioner - Dermatology 0244384022 Reassigns benefits to 1 organization
I20160721001707 AZ Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 0244384022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Mayo Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Arizona PCGroup PAC ID 0547561169, 14 clinicians

Practice addresses (Care Compare)

740 E Highland Ave
Suite 101
Phoenix, AZ 85014-3609
Phone (602) 264-9044

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
96.86
Improvement activities
40
Cost
70.83

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision109
Removal of skin lesions51
Removal of skin cancer1160
Skin biopsy83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Arizona, PC Dermatology CurrentSince Jul 18, 2016 Accepting new patients
Bill H. Halmi MD, PC PastSince Jul 18, 2016 Accepting new patients

Locations

1400 N Gilbert Rd
Ste L
Gilbert, AZ 85234
Phone (480) 292-8488

3509 S Mercy Rd
Ste 103
Gilbert, AZ 85297
Phone (480) 264-9044

903 E State Highway 260
Ste 4
Payson, AZ 85541
Phone (602) 264-9044

20940 N Tatum Blvd
Ste 270
Phoenix, AZ 85050
Phone (480) 502-0400

740 E Highland Ave
Ste 101
Phoenix, AZ 85014
Phone (602) 264-9044

740 E Highland Ave
Ste 203
Phoenix, AZ 85014
Phone (602) 264-9044

3302 N Miller Rd
Ste D
Scottsdale, AZ 85251
Phone (480) 945-6356

8817 E Bell Rd
Ste 101
Scottsdale, AZ 85260
Phone (480) 513-9440

Interoperability endpoints

  • Direct secure messaging: yulia.khan@adcs1.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1386808368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E HIGHLAND AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143609",
            "telephone_number": "602-264-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E HIGHLAND AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143609",
            "telephone_number": "602-264-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "YULIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "51966",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ND",
            "license": "12323",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "51420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00937246",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.