Active NPI
Shaukat Ali Khan, MD
- Cardiovascular Disease Physician
- Burlington, NC
National Provider Identifier
1477549871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 9700308
- Practice address
- 2905 Crouse LN
Burlington, NC 27215-8833 - Phone
- (336) 538-2494
- Fax
- (336) 538-2497
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 9700308 | NC | Primary |
Addresses
Primary practice location
2905 Crouse LN
Burlington, NC 27215-8833
Mailing address
2905 Crouse LN
Burlington, NC 27215-8833
Phone (336) 538-2494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891028K | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050825000373 | NC | Practitioner - Cardiovascular Disease (Cardiology) | 0840235743 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alliance Medical Associates PLLC
Practice addresses (Care Compare)
2905 Crouse LN
Burlington, NC 27215-8833
Phone (336) 538-2494
Hospital & facility affiliations
- Alamance Regional Medical Center
- Moses H. Cone Memorial Hospital, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Medical Associates, PLLC | Current | Accepting new patients | |
| Pioneer Ambulatory Surgery Center, LLC | Current | Accepting new patients |
Locations
2905 Crouse Ln
Burlington, NC 27215
Phone (336) 538-2494
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70549
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Burlington, NC
- NPI 1376789248
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
Hospital
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1477549871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 CROUSE LN",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158833",
"telephone_number": "336-538-2494",
"fax_number": "336-538-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 CROUSE LN",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158833",
"telephone_number": "336-538-2494",
"fax_number": "336-538-2497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "SHAUKAT",
"middle_name": "ALI",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "9700308",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891028K",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.