NPIMap

Individual provider Active NPI

Shahzad A Khan, MD

  • Neurology Physician
  • Lehighton, PA
National Provider Identifier
1689632036
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD431649 Issued in PA
Practice address
525 Iron Street
Suite B
Lehighton, PA 18235-1949
Phone
(610) 379-4677
Fax
(610) 379-4678
NPI assigned
May 3, 2006
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD111404 MO
Clinical Neurophysiology Physician 2084N0600X MD-431649 PA
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X MD-431649 PA
Neurology Physician 2084N0400X MD431649 PA Primary

Addresses

Primary practice location

525 Iron Street
Suite B
Lehighton, PA 18235-1949

Mailing address

525 Iron Street
Suite B
Lehighton, PA 18235-1949
Phone (610) 379-4677

Other practice location 1

1250 S Cedar Crest Blvd Ste 405
Allentown, PA 18103-6224
Phone (610) 402-8420

Other identifiers 3

IdentifierTypeStateIssuer
130018287OtherMORR MEDICARE
209784305MedicaidMO
102004244-001OtherPAMEDIAL ASSISTANT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20071116000020 PA Practitioner - NeurologyPractitioner - Psychiatry 8729184825 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

3701 Corriere Rd
Easton, PA 18045-7991
Phone (484) 591-7120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD111404MOMDNeurology Physician
MD431649PAMDNeurology Physician
MD-431649PAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jan 14, 2019 Accepting new patients
Family Care Centers Inc CurrentSince Mar 25, 2019 Accepting new patients
Lehigh Valley Physician Group Neurology Current Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Jun 23, 2018 Accepting new patients
Family Care Centers Inc. Neurology Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 14, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jun 23, 2018 Accepting new patients
Lehigh Valley Physician Group CurrentSince Mar 1, 2019 Accepting new patients
Hazleton Professional Services CurrentSince Mar 1, 2019 Accepting new patients
Sacred Heart Healthcare System Past Accepting new patients
Neuro Care of Virginia PC Neurology Past Accepting new patients

Locations

1250 S Cedar Crest Blvd
Ste 405
Allentown, PA 18103
Phone (610) 402-8420

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

450 Chew St
Ste 204
Allentown, PA 18102
Phone (610) 776-4758

451 Chew St
Ste 302
Allentown, PA 18102
Phone (610) 776-5491

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

3701 Corriere Rd
Easton, PA 18045
Phone (484) 591-7000

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

50 Moisey Dr
Ste 101
Hazle Township, PA 18202
Phone (570) 459-2226

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

525 Iron St
Ste B
Lehighton, PA 18235
Phone (610) 377-4181

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4844/brand/1/csg/1/fhir/r4
  • Direct secure messaging: skhan166372@direct2.lvhn.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1689632036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 IRON STREET",
            "address_2": "SUITE B",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351949",
            "telephone_number": "610-379-4677",
            "fax_number": "610-379-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 IRON STREET",
            "address_2": "SUITE B",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351949",
            "telephone_number": "610-379-4677",
            "fax_number": "610-379-4678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 S Cedar Crest Blvd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036224",
            "country_code": "US",
            "telephone_number": "610-402-8420",
            "fax_number": "610-402-1689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAHZAD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "MD111404",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PA",
            "license": "MD-431649",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "PA",
            "license": "MD-431649",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD431649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "130018287",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209784305",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIAL ASSISTANT",
            "identifier": "102004244-001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.