Individual provider Active NPI

Zohra Jabein Khan

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Bloomfield Hills, MI
National Provider Identifier
1609043421
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
4301086251 Issued in MI
Practice address
1890 Heron Ridge Dr
Bloomfield Hills, MI 48302-0726
Phone
(248) 864-8585
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301086251 MI
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 4301086251 MI Primary

Addresses

Primary practice location

1890 Heron Ridge Dr
Bloomfield Hills, MI 48302-0726

Mailing address

1890 Heron Ridge Dr
Bloomfield Hills, MI 48302-0726
Phone (248) 212-7373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20151022000385 MI Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 6901115500 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301086251MIMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric and Palliative Care PLLC Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Muksi, LLC CurrentSince Oct 1, 2015 Accepting new patients
State of Michigan Office of Financial Management CurrentSince Jun 2, 2018 Accepting new patients
State of Michigan Office of Financial Management CurrentSince Jun 2, 2018 Accepting new patients

Locations

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

6071 W Outer Dr
Ste 200
Detroit, MI 48235

26411 Southfield Rd
Lathrup Village, MI 48076
Phone (248) 424-8000

17177 N Laurel Park Dr
Ste 439
Livonia, MI 48152

30901 Palmer Rd
Westland, MI 48186
Phone (734) 367-8400

Interoperability endpoints

  • Direct secure messaging: zkhan@direct.dmc.org

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 1

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": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1609043421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 HERON RIDGE DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020726",
            "telephone_number": "248-212-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 HERON RIDGE DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020726",
            "telephone_number": "248-864-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ZOHRA",
        "middle_name": "JABEIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301086251",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4301086251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.