Active NPI
Nadia N Khan, M.D
- Internal Medicine Physician
- Morgantown, WV
National Provider Identifier
1639306491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 27837
- Practice address
- 6040 University Town Centre Dr
Morgantown, WV 26501-2421 - Phone
- (855) 988-2273
- NPI assigned
- Jun 18, 2009
- Last updated
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27837 | WV | Primary |
Addresses
Primary practice location
6040 University Town Centre Dr
Morgantown, WV 26501-2421
Mailing address
1370 Johnson Ave Ste 102
Bridgeport, WV 26330-1492
Phone (681) 342-3457
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102754226 | Medicaid | PA | |
| 30136631 | Other | PA | AMERIHEALTH MERCY - WSGER |
| P011606 | Other | PA | GATEWAY |
| 1611056 (SPEC) | Other | PA | GATEWAY |
| 30119143 | Other | PA | AMERIHEALTH MERCY - WBTH |
| 1611056 | Other | PA | GATEWAY |
| 2723148 | Other | PA | HIGHMARK BLUE SHIELD |
| 30136633 | Other | PA | AMERIHEALTH MERCY - WSH |
| 30139611 | Other | PA | AMERIHEALTH MERCY-YHCHC |
| 418685 | Other | PA | UPMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1639306491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 JOHNSON AVE STE 102",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301492",
"telephone_number": "681-342-3457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 UNIVERSITY TOWN CENTRE DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265012421",
"telephone_number": "855-988-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "NADIA",
"middle_name": "N",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-18",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "27837",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102754226",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY - WSGER",
"identifier": "30136631",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "P011606",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1611056 (SPEC)",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY - WBTH",
"identifier": "30119143",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1611056",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "2723148",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY - WSH",
"identifier": "30136633",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-YHCHC",
"identifier": "30139611",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "418685",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.