Muhammad Asad Khan, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

E2805 Issued in AR

Practice address

2707 Browns Lane
Jonesboro, AR 72401-7213

Phone

(870) 972-4080

Fax

(870) 972-4905

NPI assigned

Feb 22, 2006

Last updated

Mar 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 AR

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

Specialty

Psychiatry

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arisa Health IncGroup PAC ID 2264853829, 65 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• Arisa Health, Inc.

  • Community/Behavioral Health Agency
  • Springdale, AR
  • NPI 1437750411

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Northeast Arkansas Community Mental Health Center Inc

  dba Mid South Systems

  • Community/Behavioral Health Agency
  • Jonesboro, AR
  • NPI 1336118207
  Medicare reassignment NPD
• St. Bernards Hospital, Inc

  dba St. Bernards Pregnancy Clinic

  • Obstetrics Physician
  • Jonesboro, AR
  • NPI 1518327287
  Medicare reassignment NPD
• Arisa Health, Inc.

  • Community/Behavioral Health Agency
  • Jonesboro, AR
  • NPI 1306532767
  NPD
• Arisa Health, Inc.

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1760187413
  NPD
• Northeast Arkansas Community Mental Health Center Inc

  dba Mid-South Health Systems Inc

  • Family Medicine Physician
  • Blytheville, AR
  • NPI 1043885759
  NPD
• Northeast Arkansas Community Mental Health Center Inc

  dba Mid South Health Systems, Inc.

  • Community/Behavioral Health Agency
  • Corning, AR
  • NPI 1104077676
  NPD
• St Bernards Hospital Inc.

  dba St Bernards Medical Center

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1396053096
  NPD

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1417922261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 BROWNS LANE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-972-4997",
            "fax_number": "870-972-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 BROWNS LANE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-972-4080",
            "fax_number": "870-972-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUHAMMAD",
        "middle_name": "ASAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E2805",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AR",
            "license": "E2805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128707526",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin S. Pierce, D.D.S. P.a.
• KH Enterprises
• Mazen Khalil, M.D.
• Asra S Khan, PSYD
• Fahad Khan, DO
• Bashar Khater, MD
• Blake Kibbons
• Tiffany Kidd
• Kids Place Learning Center (KidSPOT)
• Kids Play Therapy LLC (Creative Therapy)

• Child & Adolescent Psychiatry Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Child & Adolescent Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.
• 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.

Verify at the official NPI Registry.