NPIMap

Individual provider Active NPI

Ashraf Misal Khan, M.D.

  • Family Medicine Physician
  • Panama City, FL
National Provider Identifier
1417277013
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
116833 Issued in FL
Practice address
3141 E Highway 98
Panama City, FL 32401-5415
Phone
(850) 219-6800
Fax
(850) 219-0887
NPI assigned
Jun 4, 2010
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 116833 FL Primary

Addresses

Primary practice location

3141 E Highway 98
Panama City, FL 32401-5415

Mailing address

3141 E Highway 98
Panama City, FL 32401-5415
Phone (850) 219-0887

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130905000546 FL Practitioner - Family Practice 3375781602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashraf Khan MD LLCGroup PAC ID 9931325701, 3 clinicians

Practice addresses (Care Compare)

3808 E 3Rd St
Panama City, FL 32401-5671
Phone (850) 319-0272

Hospital & facility affiliations

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
116833FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute and Palliative Group LLC Family Medicine Current Accepting new patients
Misal Khan,M.D. FRCS(Ed) P.a. CurrentSince Jul 5, 2014 Accepting new patients
Ashraf Khan MD LLC CurrentSince Jul 5, 2014 Accepting new patients
Panama City FL Opco LLC Past Accepting new patients
Bayne Jones Army Community Hospital Family Medicine PastSince Mar 29, 2020 Accepting new patients

Locations

2100 Jenks Ave
Panama City, FL 32405
Phone (850) 323-0212

3141 E Highway 98
Panama City, FL 32401
Phone (850) 219-6800

3212 Jenks Ave
Panama City, FL 32405
Phone (516) 244-1857

3808 E 3rd St
Panama City, FL 32401
Phone (850) 319-0272

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

615 N Bonita Ave
Fl 3
Panama City, FL 32401
Phone (850) 767-3180

1554 Surgeons Dr
Tallahassee, FL 32308
Phone (850) 219-6800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1417277013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 E HIGHWAY 98",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324015415",
            "telephone_number": "850-219-0887",
            "fax_number": "850-219-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 E HIGHWAY 98",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324015415",
            "telephone_number": "850-219-6800",
            "fax_number": "850-219-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ASHRAF",
        "middle_name": "MISAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "116833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.