NPIMap

Individual provider Active NPI

Waheed A Khan, MD

  • Internal Medicine Physician
  • Hinton, WV
National Provider Identifier
1457319220
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18163 Issued in WV
Practice address
1500 Terrace Street
Doctors Office 105
Hinton, WV 25951
Phone
(304) 466-2933
Fax
(304) 466-2932
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18163 WV Primary

Addresses

Primary practice location

1500 Terrace Street
Doctors Office 105
Hinton, WV 25951

Mailing address

Mountanieer Healthcae ,PLLC
115 Summers Hospital Road
Hinton, WV 25951
Phone (304) 466-2933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20040122000043 WV Practitioner - Emergency MedicinePractitioner - Internal Medicine 5092617084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 Summers Hospital Rd
Sut105
Hinton, WV 25951-5172
Phone (304) 466-2933

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Charleston, WV, CCN 517115
  • Hospice of Southern West Virginia, Inc Hospice, Beckley, WV, CCN 511506
  • Summers County Arh Hospital Hospital, Hinton, WV, CCN 511310
  • Summers County Arh Hospital Nursing home, CCN 51Z310

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountaineer Healthcare, PLLC CurrentSince Jan 1, 2004 Accepting new patients
Summers Emergency Physicians LLC CurrentSince Jul 1, 2007 Accepting new patients
Marshall Emergency Services Associates, PLLC Past Accepting new patients
Beckley Emergency Physicians LLC Past Accepting new patients
Main Street Hinton Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Hospital Care Consultants Region II Inc Internal Medicine Past Accepting new patients

Locations

306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373

115 Summers Hospital Rd
Ste 105
Hinton, WV 25951

1500 Terrace St
Ofc 105
Hinton, WV 25951
Phone (304) 466-2933

1500 Terrace St
#105
Hinton, WV 25951
Phone (304) 466-2933

115 Summers Hospital Rd
#105
Hinton, WV 25951
Phone (304) 466-2933

115 Summers Hospital Rd
Hinton, WV 25951
Phone (304) 466-2918

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mountaineer Healthcare PLLCHinton, WV, CCN 513912 Rural health clinic 5% Or Greater Direct Ownership Interest Apr 23, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 4

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1457319220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MOUNTANIEER HEALTHCAE ,PLLC",
            "address_2": "115 SUMMERS HOSPITAL ROAD",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "25951",
            "telephone_number": "304-466-2933",
            "fax_number": "304-466-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 TERRACE STREET",
            "address_2": "DOCTORS OFFICE 105",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "25951",
            "telephone_number": "304-466-2933",
            "fax_number": "304-466-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "WAHEED",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "18163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinton, WV

Sources for this page

Verify at the official NPI Registry.