Individual provider Active NPI

Sadaf Khan, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Columbus, OH
National Provider Identifier
1528453842
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
86744 Issued in GA
Practice address
50 N Wilson Road
Columbus, OH 43204
Phone
(614) 702-7915
NPI assigned
Apr 2, 2015
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 86744 GA Primary
Internal Medicine Physician 207R00000X 35.133518 OH

Addresses

Primary practice location

50 N Wilson Road
Columbus, OH 43204

Mailing address

500 Springhouse Cir
Stone Mountain, GA 30087-6741
Phone (678) 684-3153

Other practice location 1

1900 10th Ave
Midtown Medical Center Suite 100
Columbus, GA 31901-3600
Phone (706) 571-1430

Other practice location 2

2260 Morse Rd
Columbus, OH 43229-5858
Phone (614) 702-7899

Other practice location 3

50 N Wilson Road
Columbus, OH 43204
Phone (614) 702-7915

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
I20210225003335 GA Practitioner - Family PracticePractitioner - Geriatric Medicine 2567718919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Springs LLCGroup PAC ID 7810961380, 4 clinicians

Practice addresses (Care Compare)

500 Springhouse Cir
Stone Mountain, GA 30087-6741
Phone (770) 879-4330

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Park Springs, LLC CurrentSince Jan 4, 2021 Accepting new patients
Dedicated Columbus Ohio, LLC Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
PT Hills Place Terraces LLC CurrentSince Jan 4, 2021 Accepting new patients
PT Hills Place Terraces LLC CurrentSince Jan 4, 2021 Accepting new patients
Dedicated Columbus Ohio, LLC CurrentSince Aug 1, 2019 Accepting new patients
Park Springs, LLC CurrentSince Jan 4, 2021 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

500 Springhouse Cir
Stone Mtn, GA 30087
Phone (678) 684-3800

2260 Morse Rd
Columbus, OH 43229
Phone (305) 831-4453

50 N Wilson Rd
Columbus, OH 43204
Phone (614) 702-7915

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: skhan@psl-ga.direct.office.nextgen.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1528453842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SPRINGHOUSE CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876741",
            "telephone_number": "678-684-3153",
            "fax_number": "678-684-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N WILSON ROAD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43204",
            "telephone_number": "614-702-7915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 10th Ave",
            "address_2": "Midtown Medical Center Suite 100",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319013600",
            "country_code": "US",
            "telephone_number": "706-571-1430",
            "fax_number": "706-571-1604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2260 Morse Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432295858",
            "country_code": "US",
            "telephone_number": "614-702-7899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 N Wilson Road",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43204",
            "country_code": "US",
            "telephone_number": "614-702-7915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SADAF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "86744",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.133518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.