Individual provider Active NPI

Adil Haleem Khan, MD

  • Colon & Rectal Surgery Physician
  • New York, NY
National Provider Identifier
1598044299
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
324394 Issued in NY
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

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address akhan1441583@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WV, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 6608828447, 222 clinicians

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 Hospital, Columbus, OH, CCN 360035
  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Two LLC Surgery CurrentSince Nov 4, 2024 Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Nov 4, 2024 Accepting new patients
Raleigh General Hospital LLC Surgery CurrentSince Sep 1, 2018 Accepting new patients
Raleigh General Hospital LLC CurrentSince Sep 1, 2018 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Oct 1, 2017 Accepting new patients
Mount Carmel Health System Surgery CurrentSince Nov 4, 2024 Accepting new patients
Mount Carmel Health System CurrentSince Nov 4, 2024 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Oct 1, 2017 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

  • Direct secure messaging: adil.khan@wvafn.hcadirect.net
  • Direct secure messaging: akhan3678052@direct.trinity-health.org
  • Direct secure messaging: akhan1441583@ehrdirect.mayoclinicmsg.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.