Active NPI
Mahrukh Khan, M.D.
- Adult Medicine Physician
- St. Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 112340
- Practice address
- 7491 Big Bend Blvd.
St. Louis, MO 63119 - Phone
- (314) 961-3038
- Fax
- (314) 961-6731
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 112340 | MO | Primary |
Addresses
Primary practice location
7491 Big Bend Blvd.
St. Louis, MO 63119
Mailing address
PO Box 2153 Dept #30704
Birmingham, AL 35287-9257
Phone (314) 961-3038
Other practice location 1
14 Park Pl Ste A
Swansea, IL 62226-2929
Phone (618) 398-6266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- 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
- Family Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Phone (314) 966-9100
7491 Big Bend Blvd
Saint Louis, MO 63119-2101
Hospital & facility affiliations
- Mercy Home Health
- Mercy Hospital South
- Mercy Hospital St Louis
- Memorial Hospital
- Missouri Baptist Medical Center
- SSM St Clare Health Center
- SSM Health Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.75 of 100
- Quality
- 73
- Improvement activities
- 40
- Cost
- 85.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112340 | MO | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Healthcare LTD | Adult Medicine | Current | Accepting new patients |
| County of St Louis Division of Fiscal Management | Past | Accepting new patients |
Locations
180 S 3rd St
Belleville, IL 62220
Phone (618) 233-5480
746 Urbanna Dr
Freeburg, IL 62243
Phone (618) 317-1537
14 Park Pl
Ste A
Swansea, IL 62226
Phone (618) 277-3332
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
300 Liguori Dr
Barnhart, MO 63012
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850
7491 Big Bend Blvd
Webster Groves, MO 63119
Phone (314) 961-3038
140 E Lockwood Ave
Webster Groves, MO 63119
Phone (314) 961-3038
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Berkeley, MO
- NPI 1184519506
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint Louis, MO
- NPI 1154407112
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
- General Acute Care Hospital
- Fenton, MO
- NPI 1851496152
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1568596336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2153 DEPT #30704",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352879257",
"telephone_number": "314-961-3038",
"fax_number": "314-961-6731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7491 BIG BEND BLVD.",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63119",
"telephone_number": "314-961-3038",
"fax_number": "314-961-6731"
}
],
"practiceLocations": [
{
"address_1": "14 Park Pl Ste A",
"address_purpose": "LOCATION",
"city": "Swansea",
"state": "IL",
"postal_code": "622262929",
"country_code": "US",
"telephone_number": "618-398-6266",
"fax_number": "618-398-6293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "MAHRUKH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "MO",
"license": "112340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.