Active NPI
Adeel Khan, DO
- Family Medicine Physician
- Sterling Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101025937
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Henry Ford Health St John Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 112 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101025937 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adeel Khan DO PLLC | Family Medicine | Current | Accepting new patients |
| Mohamad Al-Jarrah M D P C | Family Medicine | Current | Accepting new patients |
| Eastern Care LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Troy, MI
- NPI 1942052550
-
- Urgent Care Clinic/Center
- Warren, MI
- NPI 1053027235
-
- Pulmonary Disease Physician
- Sterling Heights, MI
- NPI 1801053244
Family Medicine
-
- Family Medicine Physician
- Okemos, MI
- NPI 1124967575
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint Clair Shores, MI
- NPI 1336220847
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.