Organization Active NPI

Irfan Khan MD P a

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1699807966
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IRFAN KHAN MD P A
Practice address
9834 Glades Road
Suite C5
Boca Raton, FL 33434
Phone
(561) 470-1110
Fax
(561) 470-1184
NPI assigned
Mar 12, 2007
Last updated
Jun 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Irfan Khan, MDNPI 1265573158
Title
Owner
Phone
(561) 470-1110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

9834 Glades Road
Suite C5
Boca Raton, FL 33434

Mailing address

9250 Glades Rd Ste 110
Boca Raton, FL 33434-3958
Phone (561) 470-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100616000197 FL Part B Supplier - Clinic/Group Practice 0840320982 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1699807966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 GLADES RD STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343958",
            "telephone_number": "561-470-1110",
            "fax_number": "561-470-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GLADES ROAD",
            "address_2": "SUITE C5",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33434",
            "telephone_number": "561-470-1110",
            "fax_number": "561-470-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRFAN KHAN MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-470-1110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.