Individual provider Active NPI

Ilyas Khan, M.D.

  • Diagnostic Radiology Physician
  • Covina, CA
National Provider Identifier
1568434124
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A064507 Issued in CA
Practice address
414 E San Bernardino Rd
Covina, CA 91723-1704
Phone
(626) 915-5181
Fax
(626) 331-2313
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A064507 CA Primary

Addresses

Primary practice location

414 E San Bernardino Rd
Covina, CA 91723-1704

Mailing address

Box 5010
Glendora, CA 91740-0735
Phone (626) 915-5181

Other identifiers 1

IdentifierTypeStateIssuer
00A645070MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20031119000942 CA Practitioner - Diagnostic Radiology 4789588005 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.21 of 100Reported as group
Quality
92.22
Improvement activities
40
Cost
74.96

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64507CAMDPharmacist
A064507CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Aug 1, 2024 Accepting new patients
Rochester General Hospital CurrentSince Aug 1, 2024 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Mountain Communities Healthcare District CurrentSince May 1, 2023 Accepting new patients
United Memorial Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Mountain Communities Healthcare District Current Accepting new patients
Mountain Communities Healthcare District CurrentSince May 1, 2023 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Aug 1, 2024 Accepting new patients
Glendora Radiological Assoc Inc Diagnostic Radiology CurrentSince Jan 17, 2000 Accepting new patients
Focus Medical Imaging Diagnostic Radiology Past Accepting new patients

Locations

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

414 E San Bernardino Rd
Covina, CA 91723
Phone (626) 367-3206

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

267 S San Pedro St
Unit 261
Los Angeles, CA 90012
Phone (310) 600-3430

323 S Heliotrope Ave
Monrovia, CA 91016
Phone (626) 408-9800

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

9041 Magnolia Ave
Ste 101
Riverside, CA 92503
Phone (951) 687-5755

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1568434124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 5010",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917400735",
            "telephone_number": "626-915-5181",
            "fax_number": "626-331-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231704",
            "telephone_number": "626-915-5181",
            "fax_number": "626-331-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ILYAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A064507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A645070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.