Individual provider Active NPI

Akhtar S Khan, MD

  • Surgical Critical Care Physician
  • Pittsburgh, PA
National Provider Identifier
1447217492
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
MD071492L Issued in PA
Practice address
138 N Woodland Rd
Pittsburgh, PA 15232-2850
Phone
(412) 404-2936
NPI assigned
Apr 26, 2006
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD071492L PA
Surgical Critical Care Physician 2086S0102X 28014 WV
Surgical Critical Care Physician 2086S0102X MD071492L PA Primary

Addresses

Primary practice location

138 N Woodland Rd
Pittsburgh, PA 15232-2850

Mailing address

2580 Haymaker Rd Ste 304
Monroeville, PA 15146-3500
Phone (412) 858-3070

Other practice location 1

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1330

Other practice location 2

2580 Haymaker Rd Ste 304
Monroeville, PA 15146-3500
Phone (412) 858-3070

Other identifiers 2

IdentifierTypeStateIssuer
0019675960003MedicaidPA
2447687MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akhan11008@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180418001386 WV Practitioner - Critical Care (Intensivists) 4880681394
I20200204002799 VA Practitioner - Internal Medicine 4880681394 Reassigns benefits to 1 organization
I20220801003198 FL Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 4880681394 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Trauma Services LLCGroup PAC ID 3971985938, 92 clinicians

Practice addresses (Care Compare)

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone (850) 862-1111

14000 Fivay Rd
Hudson, FL 34667-7103
Phone (727) 819-2929

14100 Fivay Rd
Suite 340
Hudson, FL 34667-7181
Phone (727) 861-0237

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28014WVMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Feb 15, 2010 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Feb 15, 2010 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jun 1, 2017 Accepting new patients
Florida Trauma Services, LLC Surgery CurrentSince Oct 1, 2023 Accepting new patients
Sound Physicians Intensivists of Virginia LLC CurrentSince Nov 1, 2019 Accepting new patients
Intensive Care Consortium Inc CurrentSince Apr 19, 2022 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jun 1, 2017 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

2566 Haymaker Rd
Ste 306
Monroeville, PA 15146
Phone (412) 457-0100

2580 Haymaker Rd
Ste 304
Monroeville, PA 15146
Phone (412) 578-4341

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

320 E North Ave
Ste 261
Pittsburgh, PA 15212
Phone (412) 359-3901

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Interoperability endpoints

  • Direct secure messaging: akhan@direct.excelahealth.org
  • Direct secure messaging: akhtar.khan@hca4.eclinicaldirectplus.com

Organizations & group practices 11

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 1

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1447217492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 HAYMAKER RD STE 304",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463500",
            "telephone_number": "412-858-3070",
            "fax_number": "412-858-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 N WOODLAND RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152322850",
            "telephone_number": "412-404-2936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 J D Anderson Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053494",
            "country_code": "US",
            "telephone_number": "304-598-1330",
            "fax_number": "304-598-1609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2580 Haymaker Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151463500",
            "country_code": "US",
            "telephone_number": "412-858-3070",
            "fax_number": "412-858-3076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AKHTAR",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD071492L",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "WV",
            "license": "28014",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "PA",
            "license": "MD071492L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019675960003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2447687",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akhan11008@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2580 Haymaker Rd Ste 304",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151463500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.