Active NPI
Kanwal Khan, M.D.
- Internal Medicine Physician
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2007016055
- Practice address
- 224 S Woods Mill Rd Ste 410S
Chesterfield, MO 63017-3605 - Phone
- (314) 878-7220
- Fax
- (314) 878-0047
- NPI assigned
- Jul 31, 2008
- 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 | 2007016055 | MO | Primary |
Addresses
Primary practice location
224 S Woods Mill Rd Ste 410S
Chesterfield, MO 63017-3605
Mailing address
222 S Woods Mill Rd
Ste 650 N
Chesterfield, MO 63017-3625
Phone (314) 682-3625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
222 S Woods Mill Rd
Suite 650N
Chesterfield, MO 63017-3648
Phone (314) 682-3625
7212 Balson Ave
Saint Louis, MO 63130-3001
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.71 of 100
- Quality
- 82.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007016055 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine of Chesterfield, LLC | Internal Medicine | Current | Accepting new patients |
| St. Lukes Medical Group | Internal Medicine | Past | Accepting new patients |
Locations
222 S Woods Mill Rd
Ste 650N
Chesterfield, MO 63017
Phone (314) 317-9000
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1265853543
-
- Home Health Agency
- Saint Louis, MO
- NPI 1215936588
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424044800000",
"number": "1659537454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 S WOODS MILL RD",
"address_2": "STE 650 N",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173625",
"telephone_number": "314-682-3625",
"fax_number": "314-590-5953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 S WOODS MILL RD STE 410S",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173605",
"telephone_number": "314-878-7220",
"fax_number": "314-878-0047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "KANWAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-31",
"last_updated": "2015-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2007016055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.