NPIMap

Individual provider Active NPI

Ashar Humayun Khan, MD

  • Psychiatry Physician
  • Monroe, MI
National Provider Identifier
1679646160
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301073290 Issued in MI
Practice address
700 Stewart Rd
Suite 105
Monroe, MI 48162-5304
Phone
(734) 240-1760
Fax
(734) 240-1780
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301073290 MI Primary

Addresses

Primary practice location

700 Stewart Rd
Suite 105
Monroe, MI 48162-5304

Mailing address

700 Stewart Rd
Suite 105
Monroe, MI 48162-5304
Phone (734) 240-1760

Other identifiers 2

IdentifierTypeStateIssuer
0E86018OtherMIBCBS
4607586MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040312000782 MI Practitioner - Psychiatry 5092604504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24714 Michigan Ave
Dearborn, MI 48124-1750
Phone (313) 438-6691

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Behavioral Care PLLC Psychiatry CurrentSince Mar 1, 2013 Accepting new patients
Apex Behavioral Health,PLLC Past Accepting new patients
Junaid Ghadai MD PC Psychiatry PastSince Oct 30, 2018 Accepting new patients
Comprehensive Psychiatric & Medical Services Psychiatry Past Accepting new patients
Kamran F. Sheikh MD PC Past Accepting new patients
Sacred Heart Medical Centre PC Past Accepting new patients
Shabbir Ahmed MD PC Past Accepting new patients
Insync Behavioral Health PLLC Psychiatry PastSince Mar 1, 2013 Accepting new patients

Locations

24714 Michigan Ave
Dearborn, MI 48124
Phone (313) 438-6691

Interoperability endpoints

  • Direct secure messaging: ashar.khan.1@18773.direct.athenahealth.com

Organizations & group practices 9

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 3

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679646160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 STEWART RD",
            "address_2": "SUITE 105",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625304",
            "telephone_number": "734-240-1760",
            "fax_number": "734-240-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 STEWART RD",
            "address_2": "SUITE 105",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625304",
            "telephone_number": "734-240-1760",
            "fax_number": "734-240-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ASHAR",
        "middle_name": "HUMAYUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301073290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0E86018",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4607586",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.