NPIMap

Individual provider Active NPI

Muhammad Akmal Khan, MD

  • Interventional Cardiology Physician
  • Dodge City, KS
National Provider Identifier
1669470340
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
04-31421 Issued in KS
Practice address
100 W Ross Blvd Ste 2B
Dodge City, KS 67801-7217
Phone
(620) 225-3900
Fax
(620) 225-3901
NPI assigned
Jul 7, 2005
Last updated
Nov 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 04-31421 KS Primary

Addresses

Primary practice location

100 W Ross Blvd Ste 2B
Dodge City, KS 67801-7217

Mailing address

100 W Ross Blvd Ste 2B
Dodge City, KS 67801-7217
Phone (620) 225-3900

Other identifiers 1

IdentifierTypeStateIssuer
200335790AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20051018000371 KS Practitioner - Cardiovascular Disease (Cardiology) 4789600081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 W Ross Blvd
BLDG 2 Suite B
Dodge City, KS 67801-7216
Phone (620) 225-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.17 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
86.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Institute of the South, LLC Interventional Cardiology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJBGAD/Endpoint/JJBGAD

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Kansas Medical CenterAndover, KS, CCN 170197 Hospital Limited Partnership Interest (4.01%) Jan 3, 2007

Owned or controlled facilities with NPI records 1

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 4

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1669470340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W ROSS BLVD STE 2B",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017217",
            "telephone_number": "620-225-3900",
            "fax_number": "620-225-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W ROSS BLVD STE 2B",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017217",
            "telephone_number": "620-225-3900",
            "fax_number": "620-225-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUHAMMAD",
        "middle_name": "AKMAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KS",
            "license": "04-31421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200335790A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

Verify at the official NPI Registry.