Mashiur Rahman Khan, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

43888 Issued in KY

Practice address

2420 E 10TH St
Jeffersonville, IN 47130-7303

Phone

(812) 282-8248

NPI assigned

Jun 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kmi Acquisition LLC

  dba The Brook Hospital KMI

  • Psychiatric Hospital
  • Louisville, KY
  • NPI 1104097021

  Psychiatry

  Medicare reassignment NPD
• University of Louisville Physicians, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1366722316
  Medicare reassignment NPD
• Kmi Acquisition LLC

  dba The Brook Hospital KMI

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1073194585
  NPD
• Mt. Airy Development, LLC

  dba Glenwood Behavioral Health Hospital

  • Psychiatric Hospital
  • Cincinnati, OH
  • NPI 1801405519
  NPD
• University of Louisville Physicians, Inc.

  dba ULP Radiological Associates

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1316294127
  NPD
• University of Louisville Physicians, Inc.

  dba ULP Pulmonary

  • Pulmonary Disease Physician
  • Louisville, KY
  • NPI 1821363938
  NPD
• Childplace, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Jeffersonville, IN
  • NPI 1578685160
  NPD (past)
• Commonwealth of Kentucky

  dba Oakwood Specialty Intermediate Care Clinic

  • Multi-Specialty Clinic/Center
  • Somerset, KY
  • NPI 1245657857
  NPD (past)
• Dr Charles Bensenhaver III LLC

  • Obesity Medicine (Psychiatry & Neurology) Physician
  • Louisville, KY
  • NPI 1962108118
  NPD (past)
• Uofl Health-Louisville Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1639711294
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1396941175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 E 10TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307303",
            "telephone_number": "812-282-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 E 10TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307303",
            "telephone_number": "812-282-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MASHIUR",
        "middle_name": "RAHMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "43888",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "43888",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100130910",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kentuckiana Premier PST Center, LLC
• Kentucky Orthopedic Rehabilitation LLC (Jeffersonville Physical Therapy)
• Brenda Kepley-Blum, LMHC
• Carly Elizabeth Kessinger
• Maureen W Khalil, MD
• Kidney Doctors of Kentuckiana PLLC
• Kids Dentistry-Jeffersonville, LLC
• Jenna Kietzman, OTD, OTR
• Kim Sickels Nurse Practitioner, LLC
• Angela Kinder, CNM

• Psychiatry Physician in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.

Verify at the official NPI Registry.