NPIMap

Individual provider Active NPI

Kamran Ashraf Khan, M.D.

  • Family Medicine Physician
  • Federal Way, WA
National Provider Identifier
1447472204
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60291034 Issued in WA
Practice address
34616 11TH PL S
Ste 4
Federal Way, WA 98003-8705
Phone
(253) 927-2150
Fax
(253) 927-2851
NPI assigned
May 2, 2007
Last updated
Nov 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60291034 WA Primary
Family Medicine Physician 207Q00000X 4301086527 MI
Family Medicine Physician 207Q00000X 003212-1 NY

Addresses

Primary practice location

34616 11TH PL S
Ste 4
Federal Way, WA 98003-8705

Mailing address

34616 11TH PL S
Ste 4
Federal Way, WA 98003-8705
Phone (253) 927-2150

Other identifiers 3

IdentifierTypeStateIssuer
G8912297OtherWAMEDICARE
P01158785OtherWAMEDICARE RAILROAD
0301212OtherWAL&I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20121012000208 WA Practitioner - Family Practice 1951461417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

30809 1St Ave S
Federal Way, WA 98003-4074
Phone (253) 945-8124

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003212-1NYMDAcupuncturist
4301086527MIMDFamily Medicine Physician
MD60291034WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Sep 1, 2012 Accepting new patients
Franciscan Medical Group Family Medicine Past Accepting new patients

Locations

21 NE Romance Hill Rd
Ste 105
Belfair, WA 98528
Phone (360) 277-2950

30809 1st Ave S
Federal Way, WA 98003
Phone (253) 839-2030

30809 1st Ave S
#2601
Federal Way, WA 98003

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

34616 11th Pl S
Ste 4
Federal Way, WA 98003
Phone (206) 927-9460

15214 Canyon Rd E
Ste 120
Puyallup, WA 98375
Phone (253) 539-4200

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: kkhan15780@fhsce.catholichealth.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1447472204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34616 11TH PL S",
            "address_2": "STE 4",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038705",
            "telephone_number": "253-927-2150",
            "fax_number": "253-927-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34616 11TH PL S",
            "address_2": "STE 4",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038705",
            "telephone_number": "253-927-2150",
            "fax_number": "253-927-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "KAMRAN",
        "middle_name": "ASHRAF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60291034",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301086527",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "003212-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8912297",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01158785",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0301212",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.