NPIMap

Individual provider Active NPI

Azeem R Khan, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Baton Rouge, LA
National Provider Identifier
1659560597
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
026154 Issued in LA
Practice address
2223 Quail Run Ste E
Baton Rouge, LA 70808-9063
Phone
(225) 877-2872
NPI assigned
Oct 16, 2007
Last updated
Nov 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 026154 LA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 026154 LA Primary

Addresses

Primary practice location

2223 Quail Run Ste E
Baton Rouge, LA 70808-9063

Mailing address

2223 Quail Run Ste E
Baton Rouge, LA 70808-9063
Phone (225) 877-2872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080716000724 LA Practitioner - Thoracic SurgeryPractitioner - Emergency MedicinePractitioner - Cardiac Surgery 5698848109 Reassigns benefits to 3 organizations
I20211028002772 AR Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 5698848109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2223 Quail Run
Suite E
Baton Rouge, LA 70808-9063
Phone (225) 877-2872

7303 Rogers Ave
Suite 302
Fort Smith, AR 72903-4105
Phone (479) 314-7590

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Davis Emergency Group LLC Emergency Medicine CurrentSince Mar 1, 2012 Accepting new patients
Lsuhn Billing LLC CurrentSince Apr 1, 2019 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Baton Rouge General Physicians, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 1, 2022 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 8, 2021 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 8, 2021 Accepting new patients
Lsuhn Billing LLC CurrentSince Apr 1, 2019 Accepting new patients
CVT Vascular Lab, Inc PastSince Jul 30, 2012 Accepting new patients

Locations

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7303 Rogers Ave
Ste 302
Fort Smith, AR 72903
Phone (479) 452-1188

2223 Quail Run
Ste E
Baton Rouge, LA 70808
Phone (225) 769-7560

7777 Hennessy Blvd
Ste 1008
Baton Rouge, LA 70808
Phone (225) 766-0416

8595 Picardy Ave
Ste 320
Baton Rouge, LA 70809
Phone (225) 237-1880

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

Organizations & group practices 8

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": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1659560597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 QUAIL RUN STE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089063",
            "telephone_number": "225-877-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 QUAIL RUN STE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089063",
            "telephone_number": "225-877-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AZEEM",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "026154",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "LA",
            "license": "026154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.