Active NPI
Nickalus R Khan, M.D.
- Neurological Surgery Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 62016
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000533231 | Medicaid | MS | |
| 289959001 | Medicaid | AR | |
| Q043693 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Baptist Memorial Hospital
- St Francis Hospital
- Methodist Healthcare - Olive Branch Hospital
- Baptist Memorial Hospital Desoto
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.8 of 100
- Quality
- 67.04
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.62
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 175 |
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Current | Accepting new patients | |
| Arkansas Health Group | Neurological Surgery | Current | 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
- nkhan31377@mlh.direct-ci.com
- 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.
-
- Neurological Surgery Physician
- Little Rock, AR
- NPI 1346610946
-
- Clinical Neuropsychologist
- Memphis, TN
- NPI 1730385915
-
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1184824245
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1952326977
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.