NPIMap

Individual provider Active NPI

Khuda Dad Khan, M.D., PH.D.

  • Hematology & Oncology Physician
  • Louisville, KY
National Provider Identifier
1619946159
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
41517 Issued in KY
Practice address
315 E Broadway FL 4
Louisville, KY 40202
Phone
(502) 629-2500
Fax
(502) 629-2055
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 41517 KY Primary
Hematology & Oncology Physician 207RH0003X 01052174A IN

Addresses

Primary practice location

315 E Broadway FL 4
Louisville, KY 40202

Mailing address

PO Box 776347
Chicago, IL 60677-6347
Phone (502) 588-9490

Other identifiers 4

IdentifierTypeStateIssuer
200282440MedicaidIN
7100056260MedicaidKY
P01190187OtherKYMEDICARE RAILROAD
631888MedicaidAZ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kkhan147506@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050317000881 IN Practitioner - Hematology/Oncology 1254386691 Reassigns benefits to 1 organization
I20080612000589 KY Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1254386691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Hospitals, IncGroup PAC ID 9830001528, 137 clinicians

Practice addresses (Care Compare)

315 E Broadway
FL 4
Louisville, KY 40202-3700
Phone (502) 272-5165

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
60.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01052174AINMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Norton Hospitals Inc CurrentSince Aug 14, 2018 Accepting new patients
Norton Hospitals, Inc CurrentSince Aug 14, 2018 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Major Hospital Past Accepting new patients
St Francis Hospital and Health Centers Hematology & Oncology Past Accepting new patients
Arizona Oncology Associates PC Hematology & Oncology Past Accepting new patients
American Health Network of Indiana, LLC Hematology & Oncology Past Accepting new patients

Locations

1263 Hospital Dr NW
Ste 110
Corydon, IN 47112
Phone (812) 734-0912

301 Gordon Gutmann Blvd
Ste 301
Jeffersonville, IN 47130
Phone (812) 288-9969

301 Gordon Gutmann Blvd
Ste A
Jeffersonville, IN 47130

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

521 Robinbrooke Blvd
Elizabethtown, KY 42701
Phone (270) 706-1535

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

4955 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 394-6350

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

2355 Poplar Level Rd
Ste 405
Louisville, KY 40217
Phone (502) 636-7845

3991 Dutchmans Ln
Ste 405
Louisville, KY 40207
Phone (502) 899-3366

8033 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-3154

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

131 Stonecrest Rd
Ste 100
Shelbyville, KY 40065
Phone (502) 633-7093

Interoperability endpoints

  • Direct secure messaging: khuda.khan@cbs.ikm.direct-ci.com
  • Direct secure messaging: kkhan147506@direct.nortonhealthcare.org

Organizations & group practices 11

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 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1619946159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776347",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776347",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E BROADWAY FL 4",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "502-629-2500",
            "fax_number": "502-629-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "KHUDA",
        "middle_name": "DAD",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "41517",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01052174A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200282440",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100056260",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01190187",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631888",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkhan147506@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "315 E Broadway Fl 4",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "315 E Broadway Fl 4",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.