Individual provider Active NPI

Aysha Khan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Holyoke, MA
National Provider Identifier
1669034187
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
1016921 Issued in MA
Practice address
10 Hospital Dr Ste 104
Holyoke, MA 01040-6603
Phone
(413) 534-2820
NPI assigned
Jul 4, 2019
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 1016921 MA Primary

Addresses

Primary practice location

10 Hospital Dr Ste 104
Holyoke, MA 01040-6603

Mailing address

10 Hospital Dr Ste 104
Holyoke, MA 01040-6603
Phone (413) 534-2820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240222002395 MA Practitioner - Endocrinology 4284960881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians

Practice addresses (Care Compare)

10 Hospital Dr
Holyoke, MA 01040-6603
Phone (413) 532-1411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Physician Associates Inc CurrentSince Aug 1, 2024 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Aug 1, 2024 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Western Mass Physician Associates Inc Endocrinology, Diabetes & Metabolism Current Accepting new patients
Holyoke Medical Center, Inc. Past Accepting new patients

Locations

10 Hospital Dr
Ste 104
Holyoke, MA 01040
Phone (413) 532-1411

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

Interoperability endpoints

  • Direct secure messaging: aysha.khan@direct.hmcs.masshiway.net
  • Direct secure messaging: aysha.khan@xdr.hhchealthdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1562198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1669034187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR STE 104",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406603",
            "telephone_number": "413-534-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR STE 104",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406603",
            "telephone_number": "413-534-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AYSHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-04",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "1016921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.