Active NPI
Ali A Khan, M.D.
- Internal Medicine Physician
- Buckhannon, WV
National Provider Identifier
1528089158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17611
- Practice address
- 2 Hartman PLZ
Buckhannon, WV 26201-2230 - Phone
- (304) 471-3400
- Fax
- (304) 471-3402
- NPI assigned
- Jul 21, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17611 | WV | Primary |
Addresses
Primary practice location
2 Hartman PLZ
Buckhannon, WV 26201-2230
Mailing address
527 Medical Park Drive
Suite 204
Bridgeport, WV 26330
Phone (304) 933-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0076674000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Hartman PLZ
Buckhannon, WV 26201-2230
Phone (304) 471-3400
Hospital & facility affiliations
- St Joseph'S Hospital of Buckhannon, Inc
- United Hospital Center, Inc
- West Virginia University Hospitals, Inc
- Holbrook Healthcare Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Specialists, Inc. | Internal Medicine | Current | Accepting new patients |
| Clay-Battelle Health Services Association | Past | Accepting new patients | |
| Holbrook Leasing Co LLC | Past | Accepting new patients |
Locations
527 Medical Park Dr
Ste 204
Bridgeport, WV 26330
Phone (304) 623-5711
2 Hartman Plz
Buckhannon, WV 26201
Phone (304) 471-3400
Interoperability endpoints
- ali.khan@asidrs.directbygreenway.com
Organizations & group practices 3
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.
-
- Infectious Disease Physician
- Bridgeport, WV
- NPI 1427165596
Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Burton, WV
- NPI 1437214509
-
- Skilled Nursing Facility
- Buckhannon, WV
- NPI 1548805674
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Buckhannon, WV
- NPI 1124005061
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387324800000",
"number": "1528089158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DRIVE",
"address_2": "SUITE 204",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "26330",
"telephone_number": "304-933-3800",
"fax_number": "304-933-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HARTMAN PLZ",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262012230",
"telephone_number": "304-471-3400",
"fax_number": "304-471-3402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ALI",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2013-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "17611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0076674000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buckhannon, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.