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Individual provider Active NPI

Mohammad Yousaf Khan, M.D.

  • Hematology & Oncology Physician
  • Lake Charles, LA
National Provider Identifier
1427010685
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD.14445R Issued in LA
Practice address
2770 3Rd Ave Ste 210
Lake Charles, LA 70601-0404
Phone
(337) 494-6768
Fax
(337) 494-6792
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD.14445R LA Primary

Addresses

Primary practice location

2770 3Rd Ave Ste 210
Lake Charles, LA 70601-0404

Mailing address

PO Box 122579 Dept 2579
Dallas, TX 75312-2579
Phone (337) 494-2921

Other practice location 1

109 W 4th St
Deridder, LA 70634-4849
Phone (337) 494-6867

Other identifiers 1

IdentifierTypeStateIssuer
1141143MedicaidLA

Other names 1

  • Mohammad L Khan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20090724000489 LA Practitioner - Hematology/Oncology 7012919491

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Dallas, TX 75312

Hospital & facility affiliations

  • Harbor Hospice of Lake Charles, LP Hospice, Lake Charles, LA, CCN 191625
  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060
  • West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013
  • Beauregard Memorial Hospital Hospital, Deridder, LA, CCN 190050
  • Allen Parish Hospital Hospital, Kinder, LA, CCN 190133
  • Ochsner American Legion Hospital Hospital, Jennings, LA, CCN 190053

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.14445RLAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swlhs, Inc. Hematology & Oncology CurrentSince May 8, 2022 Accepting new patients
Wharton Physician Services PA Past Accepting new patients
Imperial Health LLP Past Accepting new patients

Locations

109 W 4th St
Deridder, LA 70634
Phone (337) 221-3004

2770 3rd Ave
Ste 210
Lake Charles, LA 70601
Phone (337) 494-6768

619 S Huntington St
Sulphur, LA 70663
Phone (337) 494-3278

3924 Maplewood Dr
Sulphur, LA 70663
Phone (337) 494-6768

Organizations & group practices 3

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1427010685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122579 DEPT 2579",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122579",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 3RD AVE STE 210",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706010404",
            "telephone_number": "337-494-6768",
            "fax_number": "337-494-6792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Deridder",
            "state": "LA",
            "postal_code": "706344849",
            "country_code": "US",
            "telephone_number": "337-494-6867",
            "fax_number": "337-494-6792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD",
        "middle_name": "YOUSAF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "MD.14445R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1141143",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMAD",
            "last_name": "KHAN",
            "middle_name": "L",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.