Active NPI
Babar Ahmad Khan, M.D
- Interventional Cardiology Physician
- Batesville, AR
National Provider Identifier
1487038477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- E14253
- Practice address
- 407 Virginia Dr
Batesville, AR 72501-7329 - Phone
- (870) 793-4200
- Fax
- (870) 268-4478
- NPI assigned
- Jul 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Interventional Cardiology Physician | 207RI0011X | E14253 | AR | Primary |
Addresses
Primary practice location
407 Virginia Dr
Batesville, AR 72501-7329
Mailing address
201 E Oak Ave
Jonesboro, AR 72401-4163
Phone (870) 935-6729
Other practice location 1
201 E Oak Ave
Jonesboro, AR 72401-4163
Phone (870) 935-6729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220719001152 | AR | Practitioner - Interventional Cardiology | 0446653596 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- White River Health System, Inc.
Practice addresses (Care Compare)
407 Virginia Dr
Batesville, AR 72501-7329
Phone (870) 793-7519
Hospital & facility affiliations
- White River Medical Center
- Stone County Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 138 |
| Pacemaker insertion or repair | 25 |
| Varicose vein removal | 14 |
| Leg revascularization (restoring blood flow) | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E14253 | AR | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Bernards Physician Clinics Inc | Single Specialty | Current | Accepting new patients |
| St Bernards Physician Clinics Inc | Single Specialty | Current | Accepting new patients |
| White River Health System, Inc. | Single Specialty | Current | Accepting new patients |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| White River Health System, Inc. | Single Specialty | Current | Accepting new patients |
| Ozarks Medical Center | Single Specialty | Past | Accepting new patients |
Locations
1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240
16 Hospital Cir
Ste A
Batesville, AR 72501
Phone (870) 269-4361
407 Virginia Dr
Batesville, AR 72501
Phone (870) 793-4200
1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242
201 E Oak Ave
Jonesboro, AR 72401
Interoperability endpoints
- bakhan@sbpc.medalliesdirect.net
Organizations & group practices 6
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.
-
- Surgery Physician
- Jonesboro, AR
- NPI 1447923438
AR, Single Specialty
-
- Health Service Clinic/Center
- Batesville, AR
- NPI 1992079651
AR, Single Specialty
-
- Primary Care Clinic/Center
- Jonesboro, AR
- NPI 1275204307
-
- Diagnostic Radiology Physician
- Jonesboro, AR
- NPI 1780546051
Single Specialty
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Orthopaedic Surgery Physician
- Batesville, AR
- NPI 1265821193
Hospital
-
- Pain Medicine (Anesthesiology) Physician
- Batesville, AR
- NPI 1558447599
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1487038477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E OAK AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014163",
"telephone_number": "870-935-6729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 VIRGINIA DR",
"city": "BATESVILLE",
"state": "AR",
"postal_code": "725017329",
"telephone_number": "870-793-4200",
"fax_number": "870-268-4478"
}
],
"practiceLocations": [
{
"address_1": "201 E Oak Ave",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "AR",
"postal_code": "724014163",
"country_code": "US",
"telephone_number": "870-935-6729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "BABAR",
"middle_name": "AHMAD",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-20",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AR",
"license": "E14253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Batesville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.