Active NPI
Haider Khan, M.D.
- Family Medicine Physician
- New Port Richey, FL
National Provider Identifier
1598764953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 158896
- Practice address
- 7700 Massachusetts Ave
New Port Richey, FL 34653-3024 - Phone
- (727) 808-4800
- Fax
- (727) 849-6337
- NPI assigned
- Jul 19, 2005
- Last updated
- Aug 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME50383 | FL | |
| Family Medicine Physician | 207Q00000X | 158896 | NY | Primary |
Addresses
Primary practice location
7700 Massachusetts Ave
New Port Richey, FL 34653-3024
Mailing address
7700 Massachusetts Ave
New Port Richey, FL 34653-3024
Phone (727) 808-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME50383 | Other | FL | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME50383 | FL | MD | Family Medicine Physician |
| 158896 | NY | MD | Family Medicine Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- New Port Richey, FL
- NPI 1821344821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1598764953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 MASSACHUSETTS AVE",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346533024",
"telephone_number": "727-808-4800",
"fax_number": "727-849-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 MASSACHUSETTS AVE",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346533024",
"telephone_number": "727-808-4800",
"fax_number": "727-849-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "HAIDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME50383",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "158896",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME50383",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.