Individual provider Active NPI

Amer Khan, M.D.

  • Nephrology Physician
  • Peoria, AZ
National Provider Identifier
1609010883
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
41672 Issued in AZ
Practice address
13943 N 91St Ave
Ste H101
Peoria, AZ 85381-3689
Phone
(623) 977-1331
Fax
(623) 977-1449
NPI assigned
May 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 41672 AZ Primary

Addresses

Primary practice location

13943 N 91St Ave
Ste H101
Peoria, AZ 85381-3689

Mailing address

PO Box 10542
Phoenix, AZ 85064-0542
Phone (623) 977-1331

Other identifiers 1

IdentifierTypeStateIssuer
478534MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090911000073 AZ Practitioner - NephrologyPractitioner - Internal Medicine 2961557186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Southern California Keck School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians
William L Weiss MD PCGroup PAC ID 5991779274, 4 clinicians

Practice addresses (Care Compare)

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000

9321 W Thomas Rd
Suite 400
Phoenix, AZ 85037-3399
Phone (623) 537-5100

Hospital & facility affiliations

  • 032639 Estrella Mountain Dialysis, LLC (Ara) Dialysis facility, Phoenix, AZ, CCN 032639
  • Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115
  • City of Hope Cancer Center Phoenix Hospital, Goodyear, AZ, CCN 030138

Merit-based Incentive Payment System (MIPS)

Final score
78.52 of 100Reported as group
Quality
66.08
Promoting interoperability
100
Improvement activities
40
Cost
58.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41672AZMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Arizona LLC Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients
William L Weiss, MD, PC Nephrology CurrentSince May 7, 2012 Accepting new patients
Valley Kidney Institute LLC Nephrology Past Accepting new patients
Desert Nephrology & Hypertension, Inc. Past Accepting new patients

Locations

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

9321 W Thomas Rd
Ste 400
Phoenix, AZ 85037
Phone (623) 537-5100

9305 W Thomas Rd
Ste 570
Phoenix, AZ 85037
Phone (623) 537-5100

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • Direct secure messaging: akhan145432@cityofhope.direct-ci.com

Organizations & group practices 4

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 4

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": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1609010883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10542",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850640542",
            "telephone_number": "623-977-1331",
            "fax_number": "623-977-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE",
            "address_2": "STE H101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813689",
            "telephone_number": "623-977-1331",
            "fax_number": "623-977-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AMER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-01",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "41672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "478534",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.