Individual provider Active NPI

Adeel Khan, DO

  • Family Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1427614668
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101025937 Issued in MI
Practice address
37771 Schoenherr Rd Ste 102
Sterling Heights, MI 48312-2302
Phone
(586) 978-1300
NPI assigned
May 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Family Medicine Physician 207Q00000X 5101025937 MI Primary

Addresses

Primary practice location

37771 Schoenherr Rd Ste 102
Sterling Heights, MI 48312-2302

Mailing address

249 W Long Lake Rd
Troy, MI 48098-4676
Phone (248) 953-2993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20221011000338 MI Practitioner - Family Practice 3779810551 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3334 Rochester Rd
Suite 191
Troy, MI 48083-5426
Phone (248) 953-2993

Hospital & facility affiliations

  • Affinity Home Care, LLC Home health agency, Saint Clair Shores, MI, CCN 237502
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue112
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101025937MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adeel Khan DO PLLC Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Mohamad Al-Jarrah M D P C Family Medicine CurrentSince Mar 27, 2023 Accepting new patients
Eastern Care LLC CurrentSince May 1, 2023 Accepting new patients

Locations

36909 Schoenherr Rd
Ste 100
Sterling Hts, MI 48312
Phone (586) 978-1300

3334 Rochester Rd
Troy, MI 48083
Phone (248) 953-2993

11670 Martin Rd
Ste 102
Warren, MI 48093
Phone (734) 904-1016

11670 Martin Rd
Ste 2
Warren, MI 48093
Phone (586) 754-3830

Interoperability endpoints

  • Direct secure messaging: adeel.khan.1@16555.direct.athenahealth.com

Organizations & group practices 4

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 2

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1427614668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 W LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984676",
            "telephone_number": "248-953-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37771 SCHOENHERR RD STE 102",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483122302",
            "telephone_number": "586-978-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ADEEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101025937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.