Individual provider Active NPI

Khurram H Khan, DPM

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1659390540
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006786 Issued in PA
Practice address
148 N 8TH St
Philadelphia, PA 19107
Phone
(215) 238-6600
Fax
(215) 922-1706
NPI assigned
Jul 19, 2006
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC006786 PA Primary

Addresses

Primary practice location

148 N 8TH St
Philadelphia, PA 19107

Mailing address

PO Box 22433
New York, NY 10087-2433
Phone (215) 777-5808

Other practice location 1

3223 N Broad St Ste 150
Philadelphia, PA 19140-5007
Phone (215) 238-6600

Other practice location 2

148 N 8th St
Philadelphia, PA 19107-2418
Phone (215) 777-5808

Other identifiers 1

IdentifierTypeStateIssuer
1033111500001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170614001061 PA Practitioner - Podiatry 3274591839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3223 N Broad St
Suite 150
Philadelphia, PA 19140-5007
Phone (215) 777-5808

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of nail tissue50
Removal or shaving of skin growth13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1712TXMDProfessional Counselor
006162NYMDAcupuncturist
SC006786PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Temple University of the Commonwealth System of Higher Education Podiatrist CurrentSince Oct 11, 2023 Accepting new patients
Nymhc FPP Nephrology Past Accepting new patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients
RGV Footcare PA Podiatrist Past Accepting new patients
Temple University of the Commonwealth System of Higher Education PastSince Oct 1, 2023 Accepting new patients

Locations

148 N 8th St
Philadelphia, PA 19107
Phone (215) 238-6600

3223 N Broad St
Ste 150
Philadelphia, PA 19140
Phone (215) 777-5713

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1659390540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22433",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872433",
            "telephone_number": "215-777-5808",
            "fax_number": "215-777-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 N 8TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-238-6600",
            "fax_number": "215-922-1706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3223 N Broad St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405007",
            "country_code": "US",
            "telephone_number": "215-238-6600",
            "fax_number": "215-707-9486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 N 8th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191072418",
            "country_code": "US",
            "telephone_number": "215-777-5808",
            "fax_number": "215-777-5825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "KHURRAM",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033111500001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.