Muhammad Azam Khan, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

9994 Issued in AZ

Practice address

3636 Stockton Hill Rd
Kingman, AZ 86409-0514

Phone

(928) 757-3636

Fax

(928) 757-3622

NPI assigned

Sep 9, 2005

Last updated

Feb 27, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

General Surgery

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Institute of Medicine and SurgeryGroup PAC ID 0547155566, 3 clinicians

Aims Physicians and SurgeonsGroup PAC ID 6709770696, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13192/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona Institute of Medicine and Surgery

  • Urgent Care Clinic/Center
  • Kingman, AZ
  • NPI 1881680122
  Medicare reassignment Care Compare group NPD
• Aims Physicians and Surgeons

  • Family Medicine Physician
  • Kingman, AZ
  • NPI 1073699112
  Medicare reassignment Care Compare group
• Aims Outpatient Surgery

  • Ambulatory Surgical Clinic/Center
  • Kingman, AZ
  • NPI 1063408649
  Medicare reassignment NPD
• Arizona Institure of Medicine & Surgery

  • Clinical Medical Laboratory
  • Kingman, AZ
  • NPI 1962657783
  NPD (past)
• Arizona Institute of Medicine & Surgery

  • Urgent Care Clinic/Center
  • Kingman, AZ
  • NPI 1396990800
  NPD (past)

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

• Kingman Healthcare, Inc

  dba Kingman Regional Medical Center

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1508850116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 STOCKTON HILL RD",
            "address_2": "N/A",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090514",
            "telephone_number": "928-757-4398",
            "fax_number": "928-757-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090514",
            "telephone_number": "928-757-3636",
            "fax_number": "928-757-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUHAMMAD",
        "middle_name": "AZAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "9994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214320",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WCJAZ01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Kellam
• Steven Kemp, FNP APPLICANT
• Jennifer Ann Kern, FNP
• Ahmad Saeed Khan, M.D.
• Mahmood Khan, M.D.
• Kids Little Smiles Dentistry
• Yong Chan Kim, M.D.
• Theodore S Kimball III, DDS
• Lewis Miller King III, BA
• Kingman Academy of Learning

• Surgery Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.