Muhammad S Khan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32739 Issued in WI

Practice address

10400 75TH St
Kenosha, WI 53142

Phone

(262) 948-7010

Fax

(262) 948-7328

NPI assigned

Aug 23, 2006

Last updated

Jul 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkhan318865@direct.gundersenhealth.org
• Direct secure messaging: mkhan733460@direct.emplifyhealth.org
• Direct secure messaging: mkhan888129@direct.gundersenhealth.org

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.

• Aspirus Stanley Hospital & Clinics, Inc.

  dba Aspirus Stanley Hospital

  • Critical Access Hospital
  • Stanley, WI
  • NPI 1053391730
  Medicare reassignment NPD
• Memorial Hospital of Boscobel

  dba Gundersen Boscobel Area Hospital and Clinics

  • Critical Access Hospital
  • Boscobel, WI
  • NPI 1760459846
  Medicare reassignment NPD
• Mile Bluff Medical Center Inc

  dba Mile Bluff ER/UC Providers

  • Emergency Medicine Physician
  • Mauston, WI
  • NPI 1609912005
  Medicare reassignment NPD
• Prairie Du Chien Memorial Hospital Association Inc

  dba Crossing Rivers Health

  • Critical Access Hospital
  • Prairie Du Chien, WI
  • NPI 1619024197
  Medicare reassignment NPD
• Richland Hospital

  • Critical Access Hospital
  • Richland Center, WI
  • NPI 1659301273
  Medicare reassignment NPD
• Tri-County Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Whitehall, WI
  • NPI 1417201864
  Medicare reassignment NPD
• Aspirus Stanley Hospital & Clinics, Inc

  dba Aspirus Pharmacy - Stanley

  • Community/Retail Pharmacy
  • Stanley, WI
  • NPI 1578272266
  NPD
• Memorial Hospital of Boscobel

  • Medicare Defined Swing Bed Hospital Unit
  • Boscobel, WI
  • NPI 1497712624
  NPD
• Mile Bluff Medical Center Inc

  dba Mile Bluff Urgent Care

  • Urgent Care Clinic/Center
  • Mauston, WI
  • NPI 1437958683
  NPD
• Prairie Du Chien Memorial Hospital Assoc Inc

  dba Crossing Rivers Health Clinic

  • Family Medicine Physician
  • Prairie Du Chien, WI
  • NPI 1659709830
  NPD
• Richland Hospital

  dba Community Pharmacy at The Richland Hospital

  • Community/Retail Pharmacy
  • Richland Center, WI
  • NPI 1558127480
  NPD
• Tri-County Memorial Hospital, Inc.

  • Clinic/Center
  • Independence, WI
  • NPI 1073335642
  NPD

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1447367974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 14TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531443001",
            "telephone_number": "262-948-7010",
            "fax_number": "262-553-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53142",
            "telephone_number": "262-948-7010",
            "fax_number": "262-948-7328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Parker St",
            "address_purpose": "LOCATION",
            "city": "Boscobel",
            "state": "WI",
            "postal_code": "538051648",
            "country_code": "US",
            "telephone_number": "608-375-2424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18606 Ervin St",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "WI",
            "postal_code": "547738613",
            "country_code": "US",
            "telephone_number": "715-538-4355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUHAMMAD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "32739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31800200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Ann Longawa Ketter, PA-C
• Alison M Ketterhagen, PA-C
• Mohamed Aly Khalil
• Anum Sameera Khan, M.D.
• Mehjabein Yaguoob Khan, MD
• Seema Khan, MD
• Kevin A Khater, MD, PHD
• Farheen Khatoon, DDS
• Kid Power, LLC
• Kidney Care Home SC

• Family Medicine Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.