NPIMap

Individual provider Active NPI

Rashid Khan, M.D.

  • Medical Oncology Physician
  • Mishawaka, IN
National Provider Identifier
1649446444
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
01075445A Issued in IN
Practice address
5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470
Phone
(574) 237-1328
Fax
(574) 968-9442
NPI assigned
May 1, 2008
Last updated
Jan 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 01075445A IN
Hematology & Oncology Physician 207RH0003X E-8076 AR
Medical Oncology Physician 207RX0202X 01075445A IN Primary

Addresses

Primary practice location

5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470

Mailing address

100 E Wayne St Ste 510
South Bend, IN 46601-2349
Phone (574) 334-5390

Other identifiers 1

IdentifierTypeStateIssuer
201292880MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150728003736 IN Practitioner - Medical OncologyPractitioner - HematologyPractitioner - Hematology/Oncology 0042447245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michiana Hematology-Oncology P CGroup PAC ID 3375513419, 13 clinicians

Practice addresses (Care Compare)

5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470
Phone (574) 237-1328

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.47 of 100Reported as group
Quality
91.94
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-8076ARMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlawn Hospital CurrentSince Jul 30, 2016 Accepting new patients
Michiana Hematology-Oncology P C Hematology & Oncology CurrentSince Jul 20, 2015 Accepting new patients
Michiana Hematology-Oncology P C Hematology & Oncology CurrentSince Jul 20, 2015 Accepting new patients
Woodlawn Hospital Current Accepting new patients
Woodlawn Hospital CurrentSince Jul 30, 2016 Accepting new patients
Cancer Specialists LLC Medical Oncology Past Accepting new patients

Locations

1506 Osolo Rd
#A
Elkhart, IN 46514
Phone (574) 295-1131

5340 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 237-1328

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

Interoperability endpoints

  • Direct secure messaging: rkahn95346@direct.parkviewexchange.com
  • Direct secure messaging: rkhan1155129@direct.trinity-health.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1649446444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E WAYNE ST STE 510",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466012349",
            "telephone_number": "574-334-5390",
            "fax_number": "574-334-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 HOLY CROSS PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451470",
            "telephone_number": "574-237-1328",
            "fax_number": "574-968-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RASHID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01075445A",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "E-8076",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "01075445A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201292880",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.