NPIMap

Individual provider Active NPI

Raza Ali Khan, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Charlotte, NC
National Provider Identifier
1407067929
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
2012-01447 Issued in NC
Practice address
9336 Blakeney Centre Dr Ste 100B
Charlotte, NC 28277-6694
Phone
(704) 862-4700
Fax
(704) 862-4749
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 098280 OH
Anesthesiology Physician 207L00000X MD.203861 LA
Anesthesiology Physician 207L00000X 2012-01447 NC
Anesthesiology Physician 207L00000X 34704 SC
Pain Medicine (Anesthesiology) Physician 207LP2900X 098280 OH
Pain Medicine (Anesthesiology) Physician 207LP2900X 34704 SC
Interventional Pain Medicine Physician 208VP0014X 098280 OH
Interventional Pain Medicine Physician 208VP0014X 2012-01447 NC
Interventional Pain Medicine Physician 208VP0014X 34704 SC
Pain Medicine (Anesthesiology) Physician 207LP2900X 2012-01447 NC Primary

Addresses

Primary practice location

9336 Blakeney Centre Dr Ste 100B
Charlotte, NC 28277-6694

Mailing address

9336 Blakeney Centre Dr Ste 100B
Charlotte, NC 28277-6694
Phone (704) 862-4700

Other identifiers 3

IdentifierTypeStateIssuer
5921949MedicaidNC
409952MedicaidLA
1407067929MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120801000206 SC Practitioner - AnesthesiologyPractitioner - Pain Management 2264698539 Reassigns benefits to 2 organizations
I20121116000276 NC Practitioner - Anesthesiology 2264698539 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
East Carolina Anesthesia Associates PLLC 691 clinicians
Comprehab, Inc 376 clinicians

Practice addresses (Care Compare)

1001 W Williams St
Suite 103
Apex, NC 27502-3978
Phone (919) 439-7867

2536 Lengers Way
Fort Mill, SC 29707-7126
Phone (803) 802-9500

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Atrium Health Pineville Hospital, Charlotte, NC, CCN 340098
  • Atrium Health Union Hospital, Monroe, NC, CCN 340130
  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032
  • Stanly Regional Medical Center Hospital, Albemarle, NC, CCN 340119

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.203861LAMDAnesthesiology Physician
098280OHMDAnesthesiology Physician
2012-01447NCMDPain Medicine (Anesthesiology) Physician
34704SCMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Nov 1, 2015 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Oct 1, 2012 Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology Current Accepting new patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Oct 1, 2012 Accepting new patients
Loris Anesthesia and Pain Treatment, PLLC Anesthesiology Past Accepting new patients

Locations

1001 W Williams St
Ste 103
Apex, NC 27502
Phone (919) 363-2111

364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151

1212 Spruce St
Ste 209
Belmont, NC 28012
Phone (704) 862-4700

1000 Caromont Pkwy
Belmont, NC 28012
Phone (704) 834-4327

927 East Blvd
Charlotte, NC 28203
Phone (704) 348-1855

9336 Blakeney Centre Dr
Charlotte, NC 28277
Phone (704) 759-8210

6060 Piedmont Row Dr S
Ste 575
Charlotte, NC 28287
Phone (704) 862-4700

2711 Randolph Rd
Ste 207
Charlotte, NC 28207
Phone (704) 862-4700

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

9336 Blakeney Centre Dr
Ste 100B
Charlotte, NC 28277
Phone (704) 759-1770

6060 Piedmont Row Dr S
Ste 320
Charlotte, NC 28287
Phone (301) 585-5347

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719

502 W King St
Ste 100
Kings Mtn, NC 28086
Phone (704) 734-0576

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294

118 Professional Park Dr
Rock Hill, SC 29732
Phone (803) 329-3124

Interoperability endpoints

  • Direct secure messaging: rkhan137221@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: rkhan845851@direct.unc.nchie.net

Organizations & group practices 8

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 12

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1407067929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9336 BLAKENEY CENTRE DR STE 100B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776694",
            "telephone_number": "704-862-4700",
            "fax_number": "704-862-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9336 BLAKENEY CENTRE DR STE 100B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776694",
            "telephone_number": "704-862-4700",
            "fax_number": "704-862-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RAZA",
        "middle_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "098280",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "MD.203861",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2012-01447",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "34704",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "098280",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "34704",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "098280",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NC",
            "license": "2012-01447",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "34704",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "2012-01447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921949",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409952",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407067929",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.