Individual provider Active NPI

Ayesha Afrah Khan, M.D.

  • Obstetrics & Gynecology Physician
  • Ypsilanti, MI
National Provider Identifier
1659614683
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301103042 Issued in MI
Practice address
5333 McAuley Dr
Suite 2110
Ypsilanti, MI 48197
Phone
(734) 712-3967
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 4301103042 MI Primary

Addresses

Primary practice location

5333 McAuley Dr
Suite 2110
Ypsilanti, MI 48197

Mailing address

5741 Bingham Dr
Commerce Township, MI 48382-5020
Phone (248) 787-8140

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171115001866 MI Practitioner - Obstetrics/Gynecology 0143586750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Rochester School of Medicine and Dentistry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000

18181 Oakwood Blvd
Suite 410
Dearborn, MI 48124-4082
Phone (313) 982-5430

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

4700 Schaefer Rd
Dearborn, MI 48126-3743

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC Obstetrics & Gynecology CurrentSince Nov 3, 2017 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Nov 3, 2017 Accepting new patients
Oakwood Healthcare Group I, LLC Obstetrics & Gynecology Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Oakwood Healthcare Inc Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

18101 Oakwood Blvd
Ste 410
Dearborn, MI 48124

2142 Monroe St
Ste A
Dearborn, MI 48124
Phone (313) 565-5743

4700 Schaefer Rd
Ste 310
Dearborn, MI 48126
Phone (947) 523-4680

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

18181 Oakwood Blvd
Ste 410
Dearborn, MI 48124
Phone (313) 271-0066

Interoperability endpoints

  • Direct secure messaging: akhan1241378@epic00.shdirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1659614683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5741 BINGHAM DR",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483825020",
            "telephone_number": "248-787-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR",
            "address_2": "SUITE 2110",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48197",
            "telephone_number": "734-712-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AYESHA",
        "middle_name": "AFRAH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301103042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.