Active NPI
Mohammad Ifran Khan, M.D.
- Surgery Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD432688
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6160713 | Other | PA | AETNA |
| 1023875750001 | Medicaid | PA | |
| 30081425 | Other | PA | KEYSTONE MERCY |
| 2131138 | Other | PA | HIGHMARK BLUE SHIELD |
| 3739843000 | Other | PA | KEYSTONE IBC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
3998 Red Lion Rd
Philadelphia, PA 19114-1441
Phone (215) 632-3630
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 22 |
| Coronary angioplasty and stenting | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 22 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services - Pathology | Current | Accepting new patients | |
| Aria Health Physician Services | Current | Accepting new patients | |
| Upmc Altoona | Current | Accepting new patients | |
| Upmc Altoona | Current | Accepting new patients | |
| Altru Health System | Surgery | Current | Accepting new patients |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Surgery | Current | Accepting new patients |
| Aria Health Physician Services | Current | Accepting new patients | |
| Altru Health System | Current | 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.
-
dba Richboro Medical
- Family Medicine Physician
- Richboro, PA
- NPI 1750949806
-
dba Einstein Psychiatry Assoc
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
dba Altoona Emergency Physicians
- General Acute Care Hospital
- Altoona, PA
- NPI 1497831655
-
dba Geoffrey W. Temple Family Medical Associates
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
-
- Anatomic Pathology & Clinical Pathology Physician
- Philadelphia, PA
- NPI 1083749931
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
dba General Surgery Associates
- Surgery Physician
- Elkins Park, PA
- NPI 1508822180
-
- Ambulatory Surgical Clinic/Center
- Altoona, PA
- NPI 1114926953
-
dba Aria Health Physician Services - Bucks Surgery
- Surgery Physician
- Langhorne, PA
- NPI 1114981123
-
dba Northern Vascular Lab
- Surgery Physician
- Philadelphia, PA
- NPI 1992761621
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
-
- General Acute Care Hospital
- Abington, PA
- NPI 1811992084
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.