Individual provider Active NPI

Mohammad Ifran Khan, M.D.

  • Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1558506949
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD432688 Issued in PA
Practice address
3998 Red Lion Rd
Suite 235
Philadelphia, PA 19114-1445
Phone
(215) 632-3630
Fax
(215) 632-3544
NPI assigned
Dec 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD432688 PA Primary

Addresses

Primary practice location

3998 Red Lion Rd
Suite 235
Philadelphia, PA 19114-1445

Mailing address

PO Box 8500-6335
Philadelphia, PA 19178-6335
Phone (215) 807-8000

Other identifiers 5

IdentifierTypeStateIssuer
6160713OtherPAAETNA
1023875750001MedicaidPA
30081425OtherPAKEYSTONE MERCY
2131138OtherPAHIGHMARK BLUE SHIELD
3739843000OtherPAKEYSTONE IBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091203000405 PA Practitioner - General Surgery 4385783414 Reassigns benefits to 3 organizations
I20160408001726 ND Practitioner - General Surgery 4385783414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

3998 Red Lion Rd
Philadelphia, PA 19114-1441
Phone (215) 632-3630

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)22
Coronary angioplasty and stenting1-10
Upper gastrointestinal (GI) endoscopy for acid reflux22
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services - Pathology CurrentSince Aug 16, 2010 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Upmc Altoona CurrentSince Jul 18, 2012 Accepting new patients
Upmc Altoona CurrentSince Jul 18, 2012 Accepting new patients
Altru Health System Surgery CurrentSince May 2, 2016 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 1, 2025 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Einstein Practice Plan Inc Surgery CurrentSince Jan 1, 2025 Accepting new patients
Aria Health Physician Services CurrentSince Aug 16, 2010 Accepting new patients
Altru Health System CurrentSince May 2, 2016 Accepting new patients
Aria Health Physician Services Surgery Past Accepting new patients
Einstein Practice Plan Inc Surgery Past Accepting new patients
Jefferson Health - Northeast Past Accepting new patients

Locations

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

1000 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5089

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

3998 Red Lion Rd
Ste 235
Philadelphia, PA 19114
Phone (215) 632-3630

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

9880 Bustleton Ave
Ste 205
Philadelphia, PA 19115
Phone (215) 676-2222

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

5401 Old York Rd
Ste 5
Philadelphia, PA 19141
Phone (215) 456-6127

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

7 Upper Holland Rd
Richboro, PA 18954
Phone (215) 364-8040

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1229126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1558506949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-6335",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191786335",
            "telephone_number": "215-807-8000",
            "fax_number": "215-632-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 RED LION RD",
            "address_2": "SUITE 235",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141445",
            "telephone_number": "215-632-3630",
            "fax_number": "215-632-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD",
        "middle_name": "IFRAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-13",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD432688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6160713",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023875750001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30081425",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2131138",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE IBC",
            "identifier": "3739843000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.