Individual provider Active NPI

Simeen Khan, MD

  • Family Medicine Physician
  • Mt Pleasant, MI
National Provider Identifier
1467077867
Registry record updated Sep 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301511299 Issued in MI
Practice address
4851 E Pickard St Ste 1760
Mount Pleasant, MI 48858-2038
Phone
(989) 775-1610
NPI assigned
Jun 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301511299 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X 4351047021 MI

Addresses

Primary practice location

4851 E Pickard St Ste 1760
Mount Pleasant, MI 48858-2038

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000

Other practice location 1

1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-6039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center AlmaGroup PAC ID 3375451404, 140 clinicians

Practice addresses (Care Compare)

121 N Pine River St
Ithaca, MI 48847-1039
Phone (989) 875-5111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.92
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301511299MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Sep 14, 2024 Accepting new patients
Mymichigan Medical Center Midland Family Medicine CurrentSince Sep 14, 2024 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Sep 14, 2024 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Sep 14, 2024 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Sep 14, 2024 Accepting new patients
Mymichigan Medical Center Alma Family Medicine CurrentSince Sep 14, 2024 Accepting new patients
Mymichigan Medical Center Alma Current Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

2980 Wilder Rd
Ste B
Bay City, MI 48706
Phone (989) 509-3333

700 W 5th St
Clare, MI 48617
Phone (989) 386-9911

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

5694 Midland Rd
Freeland, MI 48623
Phone (989) 695-2123

1105 E Cedar Ave
Gladwin, MI 48624
Phone (989) 246-6490

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

121 N Pine River St
Ithaca, MI 48847
Phone (989) 875-0662

3009 N Saginaw Rd
Midland, MI 48640
Phone (989) 633-1350

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

4851 E Pickard St
Ste 1760
Mt Pleasant, MI 48858
Phone (989) 775-1610

3691 W M 55
West Branch, MI 48661
Phone (989) 312-8104

335 E Houghton Ave
West Branch, MI 48661
Phone (989) 343-3154

Interoperability endpoints

  • Direct secure messaging: skhan153238@mymichiganhealth.midirect.net

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 6

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1467077867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 E PICKARD ST STE 1760",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582038",
            "telephone_number": "989-775-1610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Oakland Dr",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490081282",
            "country_code": "US",
            "telephone_number": "269-337-6039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SIMEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301511299",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4351047021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.