Individual provider Active NPI

Nickalus R Khan, M.D.

  • Neurological Surgery Physician
  • Memphis, TN
National Provider Identifier
1386987899
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
62016 Issued in TN
Practice address
6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone
(901) 522-7700
Fax
(901) 522-2600
NPI assigned
Apr 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 28973 MS
Neurological Surgery Physician 207T00000X 62016 TN Primary
Neurological Surgery Physician 207T00000X E-20127 AR

Addresses

Primary practice location

6325 Humphreys Blvd
Memphis, TN 38120-2300

Mailing address

6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone (901) 522-7700

Other identifiers 3

IdentifierTypeStateIssuer
000533231MedicaidMS
289959001MedicaidAR
Q043693MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210607001389 TN Practitioner - Neurosurgery 2668612912 Reassigns benefits to 1 organization
I20210716000790 MS Practitioner - Neurosurgery 2668612912 Reassigns benefits to 1 organization
I20260108002784 AR Practitioner - Neurosurgery 2668612912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Tennessee, HSC, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Semmes-Murphey Clinic PCGroup PAC ID 1254235914, 66 clinicians

Practice addresses (Care Compare)

391 Southcrest Cir
Suite 205
Southaven, MS 38671-6729
Phone (901) 260-6100

6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone (901) 522-7700

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • St Francis Hospital Hospital, Memphis, TN, CCN 440183
  • Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141

Merit-based Incentive Payment System (MIPS)

Final score
82.8 of 100Reported as group
Quality
67.04
Promoting interoperability
100
Improvement activities
40
Cost
75.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion175
Laminectomy or laminotomy (partial removal of spine bones)37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Feb 1, 2026 Accepting new patients
Arkansas Health Group Neurological Surgery CurrentSince Feb 1, 2026 Accepting new patients
Semmes-Murphey Clinic PC Current Accepting new patients
University of Tennessee, Memphis Past Accepting new patients

Locations

815 Hogan Ln
Ste 5
Conway, AR 72034
Phone (501) 329-1888

9601 Baptist Health Dr
Ste 750
Little Rock, AR 72205

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

391 Southcrest Cir
Ste 205
Southaven, MS 38671
Phone (662) 536-0900

6011 Airline Rd
Ste 102
Arlington, TN 38002
Phone (901) 557-7077

2996 Kate Bond Rd
Ste 211
Bartlett, TN 38133
Phone (731) 307-8888

9950 Crooked Creek Rd
Collierville, TN 38017
Phone (662) 822-3298

6325 Humphreys Blvd
Memphis, TN 38120
Phone (901) 522-7739

Interoperability endpoints

  • Direct secure messaging: nkhan31377@mlh.direct-ci.com
  • Direct secure messaging: nickalus.khan.1@28653.direct.athenahealth.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 7

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1386987899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202300",
            "telephone_number": "901-522-7700",
            "fax_number": "901-522-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202300",
            "telephone_number": "901-522-7700",
            "fax_number": "901-522-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NICKALUS",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MS",
            "license": "28973",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "62016",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AR",
            "license": "E-20127",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000533231",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289959001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q043693",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.