Individual provider Active NPI

Humayon B Khan, M.D

  • Anesthesiology Physician
  • Brockton, MA
National Provider Identifier
1629016944
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
216719 Issued in MA
Practice address
235 N Pearl St
Brockton, MA 02301-1794
Phone
(508) 427-3000
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 216719 MA
Anesthesiology Physician 207L00000X 216719 MA Primary

Addresses

Primary practice location

235 N Pearl St
Brockton, MA 02301-1794

Mailing address

960 Massachusetts Ave
Boston, MA 02118-2620
Phone (174) 145-4056

Other practice location 1

800 Washington St
dept of anesthesia
Norwood, MA 02062-3487
Phone (617) 953-4675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050209000899 MA Practitioner - AnesthesiologyPractitioner - Pain Management 9739130451 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Capa Anesthesia LLCGroup PAC ID 1850786393, 69 clinicians
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

Practice addresses (Care Compare)

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216719MAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Healthcare Medical Group Inc CurrentSince Aug 1, 2016 Accepting new patients
Southcoast Physicians Group, Inc. Current Accepting new patients
Steward Medical Group, Inc Anesthesiology CurrentSince Jun 1, 2019 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2020 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jul 19, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 1, 2019 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jul 19, 2023 Accepting new patients
Matrix Anesthesia, PC Anesthesiology CurrentSince Jan 25, 2005 Accepting new patients
Capa Anesthesia LLC Anesthesiology CurrentSince Oct 13, 2024 Accepting new patients
BMC Affiliated Physicians, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Cap Anesthesia, PC Anesthesiology Past Accepting new patients
Weymouth Endoscopy, LLC PastSince Sep 22, 2020 Accepting new patients
Park Anesthesia, Inc. Anesthesiology Past Accepting new patients

Locations

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

210 Quincy Ave
Brockton, MA 02302
Phone (508) 583-6262

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

25 Warren St
Randolph, MA 02368
Phone (781) 986-7800

40 Holland St
Somerville, MA 02144
Phone (617) 629-6000

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

840 Winter St
Waltham, MA 02451
Phone (781) 487-9944

Interoperability endpoints

  • Direct secure messaging: humayon.khan@direct.signature.masshiway.net
  • Direct secure messaging: hkhan252250@direct.bmc.masshiway.net

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1629016944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182620",
            "telephone_number": "174-145-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011794",
            "telephone_number": "508-427-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Washington St",
            "address_2": "dept of anesthesia",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020623487",
            "country_code": "US",
            "telephone_number": "617-953-4675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "HUMAYON",
        "middle_name": "B",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "216719",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "216719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.