Individual provider Active NPI

Noorul Hasan Khan, M.D.

  • Surgery Physician
  • Lima, OH
National Provider Identifier
1679729909
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.120471 Issued in OH
Practice address
1003 Bellefontaine Ave Ste 125
Lima, OH 45804-1867
Phone
(419) 998-8207
Fax
(419) 998-8216
NPI assigned
Aug 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.120471 OH Primary

Addresses

Primary practice location

1003 Bellefontaine Ave Ste 125
Lima, OH 45804-1867

Mailing address

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address noorul.khan@lmpc.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170209001430 OH Practitioner - General Surgery 2769521152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lima Memorial Professional CorporationGroup PAC ID 1254232184, 167 clinicians

Practice addresses (Care Compare)

1003 Bellefontaine Ave
Suite 125
Lima, OH 45804-1867
Phone (419) 998-8207

Hospital & facility affiliations

  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009
  • Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Varicose vein removal101
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Jan 24, 2017 Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

L3982
Columbus, OH 43260

1003 Bellefontaine Ave
Ste 125
Lima, OH 45804
Phone (419) 998-8207

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

Organizations & group practices 3

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 2

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": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1679729909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-998-4575",
            "fax_number": "419-998-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BELLEFONTAINE AVE STE 125",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041867",
            "telephone_number": "419-998-8207",
            "fax_number": "419-998-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NOORUL",
        "middle_name": "HASAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.120471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "noorul.khan@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1003 Bellefontaine Ave Ste 125",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458041867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.