Individual provider Active NPI

Mohammad Khurram Khan, MD, PH.D

  • Radiation Oncology Clinic/Center
  • Atlanta, GA
National Provider Identifier
1487823654
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
License
65834 Issued in GA
Practice address
1365 Clifton Rd NE
Radiation Oncology Department-Emory University
Atlanta, GA 30322-1013
Phone
(404) 778-3473
Fax
(404) 778-3643
NPI assigned
Feb 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X TRAINING LICENSE OH
Radiation Oncology Clinic/Center 261QX0203X 65834 GA Primary

Addresses

Primary practice location

1365 Clifton Rd NE
Radiation Oncology Department-Emory University
Atlanta, GA 30322-1013

Mailing address

1365 Clifton Rd NE
Radiation Oncology Department-Emory University
Atlanta, GA 30322-1013
Phone (404) 778-3473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110823001013 GA Practitioner - Radiation Oncology 8325218605 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Tennessee, HSC, College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians
Georgia Protoncare Center Inc.Group PAC ID 0749524312, 30 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

615 Peachtree St NE
Atlanta, GA 30368-2309
Phone (410) 706-4919

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRAINING LICENSEOHMDTherapeutic Radiology Physician
65834GAMDRadiation Oncology Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc CurrentSince Sep 1, 2011 Accepting new patients
The Emory Clinic Inc CurrentSince Sep 1, 2011 Accepting new patients
Georgia Protoncare Center, Inc. Oncology, Radiation CurrentSince Mar 5, 2019 Accepting new patients
Emory Medical Care Foundation Inc Therapeutic Radiology CurrentSince Sep 1, 2011 Accepting new patients
Emory Health Care Past Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

615 Peachtree St NE
Atlanta, GA 30308
Phone (410) 706-4919

1365 Clifton Rd NE
Bldg ASTE200
Atlanta, GA 30322

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

2675 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-1144

Interoperability endpoints

  • Direct secure messaging: mkhan43909@direct.emory.org

Organizations & group practices 5

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 5

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": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1487823654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE",
            "address_2": "RADIATION ONCOLOGY DEPARTMENT-EMORY UNIVERSITY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-778-3473",
            "fax_number": "404-778-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE",
            "address_2": "RADIATION ONCOLOGY DEPARTMENT-EMORY UNIVERSITY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-778-3473",
            "fax_number": "404-778-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD",
        "middle_name": "KHURRAM",
        "name_prefix": "Dr.",
        "credential": "MD, PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-21",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "OH",
            "license": "TRAINING LICENSE",
            "primary": false
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "GA",
            "license": "65834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.