NPIMap

Individual provider Active NPI

Zaheer A Khan, M.D.

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1669454351
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18162 Issued in AL
Practice address
3007 S. Memorial Parkway
Suite B-1
Huntsville, AL 35801-3497
Phone
(256) 799-2500
Fax
(256) 799-2519
NPI assigned
Nov 17, 2005
Last updated
Sep 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18162 AL Primary

Addresses

Primary practice location

3007 S. Memorial Parkway
Suite B-1
Huntsville, AL 35801-3497

Mailing address

3007 S. Memorial Parkway
Suite B-1
Huntsville, AL 35801-3497
Phone (256) 799-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091016000576 AL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5991842346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zaheer a Khan MD PCGroup PAC ID 1456662832, 3 clinicians

Practice addresses (Care Compare)

3007 Memorial Pkwy SW
Suite B
Huntsville, AL 35801-5394

3007 Memorial Swpkwy B
Huntsville, AL 35801-5394
Phone (256) 799-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.57 of 100Reported as group
Quality
98.39
Improvement activities
40
Cost
80.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18162ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zaheer a Khan MD PC CurrentSince Aug 1, 2014 Accepting new patients
Zaheer a. Khan MDPC PastSince Jan 1, 1990 Accepting new patients

Locations

111 Brooklyn Rd
Holly Pond, AL 35083
Phone (256) 451-1250

3007 Memorial Pkwy SW
Ste B
Huntsville, AL 35801
Phone (256) 799-2500

Interoperability endpoints

  • Direct secure messaging: zaheer.khan@cfe.direct.medconnecthealth.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Midway Medical Clinic, LLCOneonta, AL, CCN 018901 Rural health clinic 5% Or Greater Direct Ownership Interest
W-2 Managing Employee		 Feb 19, 2012
Feb 19, 2013
Horizon Medical Clinic, LLCOneonta, AL, CCN 018900 Rural health clinic 5% Or Greater Direct Ownership Interest (40%)
W-2 Managing Employee		 Feb 19, 2013
Feb 19, 2013
Main Street Clinic, LLCPell City, AL, CCN 018951 Rural health clinic 5% Or Greater Direct Ownership Interest (40%)
Corporate Officer (40%)
Operational/Managerial Control (40%)		 Aug 11, 2020
Aug 11, 2020
Aug 11, 2020
Smart Care, LLCTalladega, AL, CCN 018952 Rural health clinic 5% Or Greater Direct Ownership Interest (40%)
Corporate Officer
Operational/Managerial Control		 Dec 1, 2020
Jun 17, 2020
Jun 17, 2020

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1669454351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 S. MEMORIAL PARKWAY",
            "address_2": "SUITE B-1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013497",
            "telephone_number": "256-799-2500",
            "fax_number": "256-799-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 S. MEMORIAL PARKWAY",
            "address_2": "SUITE B-1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013497",
            "telephone_number": "256-799-2500",
            "fax_number": "256-799-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ZAHEER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "18162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.