Active NPI
Adil Haleem Khan, MD
- Colon & Rectal Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 324394
- Practice address
- 161 Ft Washingtn Ave FL 8
New York, NY 10032-3729 - Phone
- (212) 342-1155
- Fax
- (212) 305-0267
- NPI assigned
- Aug 11, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 63164 | AZ | |
| Colon & Rectal Surgery Physician | 208C00000X | 63164 | AZ | |
| Colon & Rectal Surgery Physician | 208C00000X | 324394 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
161 Ft Washingtn Ave FL 8
New York, NY 10032-3729
Mailing address
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | akhan1441583@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, WV, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171031003382 | TN | Practitioner - General Surgery | 8123394459 | Reassigns benefits to 1 organization |
| I20180904000760 | WV | Practitioner - General Surgery | 8123394459 | Reassigns benefits to 1 organization |
| I20241010002525 | OH | Practitioner - Colorectal Surgery (Proctology) | 8123394459 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mount Carmel Healthproviders Two LLC
Practice addresses (Care Compare)
5965 E Broad St
Suite 250
Columbus, OH 43213-1544
Phone (614) 627-1560
Hospital & facility affiliations
- Mount Carmel East & West
- Mount Carmel St Ann'S
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Carmel Healthproviders Two LLC | Surgery | Current | Accepting new patients |
| Mount Carmel Healthproviders Two LLC | Current | Accepting new patients | |
| Raleigh General Hospital LLC | Surgery | Current | Accepting new patients |
| Raleigh General Hospital LLC | Current | Accepting new patients | |
| Amg-Southern Tennessee LLC | Current | Accepting new patients | |
| Mount Carmel Health System | Surgery | Current | Accepting new patients |
| Mount Carmel Health System | Current | Accepting new patients | |
| Amg-Southern Tennessee LLC | Current | Accepting new patients |
Locations
5965 E Broad St
Ste 250
Columbus, OH 43213
Phone (614) 627-1560
6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420
6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400
477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808
300 S Main St
Estill Springs, TN 37330
Phone (931) 649-5139
83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966
155 Hospital Rd
Ste C
Winchester, TN 37398
Phone (931) 962-3297
1383 S College St
Winchester, TN 37398
Phone (931) 962-3500
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
Interoperability endpoints
- adil.khan@wvafn.hcadirect.net
- akhan3678052@direct.trinity-health.org
- akhan1441583@ehrdirect.mayoclinicmsg.org
- dub9005@direct.nyp.org
Organizations & group practices 8
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.
-
- Cardiovascular Disease Physician
- Columbus, OH
- NPI 1134154750
OH
-
- Rural Health Clinic/Center
- Tullahoma, TN
- NPI 1174365803
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1710752183
-
- Cardiovascular Disease Physician
- Beckley, WV
- NPI 1083858377
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": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1598044299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13400 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595452",
"telephone_number": "480-301-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 FT WASHINGTN AVE FL 8",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323729",
"telephone_number": "212-342-1155",
"fax_number": "212-305-0267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ADIL",
"middle_name": "HALEEM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-11",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "63164",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "AZ",
"license": "63164",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NY",
"license": "324394",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akhan1441583@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "13400 E Shea Blvd",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852595452",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.