Active NPI
Sohail Khan, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 54271
- Practice address
- 1111 McIntosh Cir Ste 302
Joplin, MO 64804-3693 - Phone
- (417) 347-8315
- Fax
- (417) 347-8317
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2006001521 | MO | |
| Pulmonary Disease Physician | 207RP1001X | 2006001521 | MO | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 54271 | KY | Primary |
Addresses
Primary practice location
1111 McIntosh Cir Ste 302
Joplin, MO 64804-3693
Mailing address
PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-8315
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200087780A | Medicaid | OK | |
| 200386030A | Medicaid | KS | |
| 8710 | Other | MO | ANTHEM |
| P00328561 | Other | RR MEDICARE | |
| 201141801 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KY, CO, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 359-1971
1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 384-7707
Hospital & facility affiliations
- Mercy Hospital Joplin
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54271 | KY | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fayette Physician Network Inc | Pulmonary Disease | Current | Accepting new patients |
| SSM Health Care St Louis | Current | Accepting new patients | |
| Valley View Hospital Association | Current | Accepting new patients | |
| Mercy Aco Clinical Services Inc | Current | Accepting new patients | |
| Cogent Healthcare of Missouri, Inc | Critical Care Medicine | Current | Accepting new patients |
| SSM Medical Group, Inc. | Critical Care Medicine | Current | Accepting new patients |
| University of Kentucky | Current | Accepting new patients | |
| SSM Medical Group Inc. | Current | Accepting new patients | |
| Valley View Hospital Association | Pulmonary Disease | Current | Accepting new patients |
| SSM Depaul Medical Group, Inc. | Past | Accepting new patients |
Locations
1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
12255 De Paul Dr
Ste 500
Bridgeton, MO 63044
Phone (314) 209-5180
15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
14021 New Halls Ferry Rd
Florissant, MO 63033
Phone (314) 839-0910
2963 Doddridge Ave
Maryland Hts, MO 63043
Phone (314) 291-3909
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000
201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Interoperability endpoints
- sohail.khan.1@9028.direct.athenahealth.com
Organizations & group practices 12
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.
-
- Pulmonary Disease Physician
- Glenwood SPGS, CO
- NPI 1982023495
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Critical Care Medicine (Internal Medicine) Physician
- Fenton, MO
- NPI 1780961599
-
- Neurology Physician
- Chesterfield, MO
- NPI 1063965093
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
Critical Care Medicine
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Public Health or Welfare Agency
- Lawton, OK
- NPI 1053352690
-
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Carbondale, CO
- NPI 1457235202
-
- Family Medicine Physician
- Florissant, MO
- NPI 1952312951
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1689602930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3810",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648033810",
"telephone_number": "417-347-8315",
"fax_number": "417-347-8317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MCINTOSH CIR STE 302",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043693",
"telephone_number": "417-347-8315",
"fax_number": "417-347-8317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "SOHAIL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MO",
"license": "2006001521",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "2006001521",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "KY",
"license": "54271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200087780A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200386030A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "8710",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00328561",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201141801",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.