Active NPI
Sayeed Khan, DO
- Pediatrics Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 04519
- Practice address
- 5721 Bardstown Rd
Louisville, KY 40291-1913 - Phone
- (502) 231-1144
- NPI assigned
- Apr 15, 2016
- Last updated
- Jan 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 04519 | KY | Primary |
Addresses
Primary practice location
5721 Bardstown Rd
Louisville, KY 40291-1913
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Other practice location 1
571 S Floyd St
suite 412
Louisville, KY 40202-3818
Phone (502) 852-8600
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | skhan103444@direct.nortonhealthcare.org | ||
| FHIR URL | https://epicsoap.nortonhealthcare.org/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04519 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Norton Children's Medical Group, LLC | Current | Accepting new patients | |
| Norton Children's Medical Group, LLC | Pediatrics | Current | Accepting new patients |
| Community Medical Associates, Inc. | Pediatrics | Current | Accepting new patients |
| Norton Children's Medical Group, LLC | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Norton Childrens Medical Group, LLC | Pediatrics | Past | Accepting new patients |
Locations
5721 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-1144
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
dba Norton Children's Behavioral and Mental Health
- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
Pediatrics
-
dba Norton Community Medical Associates
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
dba Norton Children's Endocrinology
- Pediatric Endocrinology Physician
- Louisville, KY
- NPI 1548801186
Pediatrics
-
dba Norton Children's Radiologists
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
-
dba Norton Children's Medical Group
- Pediatrics Physician
- Louisville, KY
- NPI 1326695255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1396199311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5721 BARDSTOWN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402911913",
"telephone_number": "502-231-1144"
}
],
"practiceLocations": [
{
"address_1": "571 S Floyd St",
"address_2": "suite 412",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402023818",
"country_code": "US",
"telephone_number": "502-852-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "SAYEED",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-15",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "04519",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "skhan103444@direct.nortonhealthcare.org",
"affiliation": "N",
"address_1": "5721 Bardstown Rd",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402911913",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicsoap.nortonhealthcare.org/",
"affiliation": "N",
"address_1": "5721 Bardstown Rd",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402911913",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.