Mansoor A Khan, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

01065991A Issued in IN

Practice address

4411 Washington Ave
Suite 100
Evansville, IN 47714-0890

Phone

(888) 901-7246

Fax

(877) 598-6856

NPI assigned

Nov 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Pain ManagementAlso: Interventional Pain Management

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shadeland Anesthesia and Pain Associates Inc 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115
• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Shadeland Anesthesia & Pain Associates Inc.

  • Interventional Pain Medicine Physician
  • Indianapolis, IN
  • NPI 1477589000

  IN, Interventional Pain Medicine

  Medicare reassignment Care Compare group NPD
• Shadeland Anesthesia & Pain Associates Inc.

  • Durable Medical Equipment & Medical Supplies
  • Brownsburg, IN
  • NPI 1376429555

  Interventional Pain Medicine

  Care Compare group NPD
• Indiana Pain Centers-Evansville LLC

  • Ambulatory Surgical Clinic/Center
  • Evansville, IN
  • NPI 1124526306

  IN

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deaconess Hospital Inc

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427

  Hospital

  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642

  Hospital

  Care Compare affiliation
• Deaconess Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Jasper, IN
  • NPI 1003895947

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1497937890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 WASHINGTON AVE STE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140805",
            "telephone_number": "414-455-1153",
            "fax_number": "823-523-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 WASHINGTON AVE",
            "address_2": "SUITE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140890",
            "telephone_number": "888-901-7246",
            "fax_number": "877-598-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MANSOOR",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01065991A",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01065991A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200920880",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tania Khalid, M.D
• Ahmed Sultan Khan, M.D.
• Alifia Mansoor Khan, MD
• Farhaan Khan, DO
• Humza Khan, MD
• Muhammad Alamgir Khan, MBBS
• Zaraq Ahmad Khan, MBCHB
• Anna Jane Kidd
• Denise King Kidder, FNP, APRN, MSN/ED
• Destiny Kidwell, RD

• All providers in Evansville, IN
• Interventional Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.

Verify at the official NPI Registry.