Active NPI
Madiha Iqbal Khan, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 079730
- Practice address
- 15 Reinhardt College Pkwy
Suite 109
Canton, GA 30114 - Phone
- (770) 213-2520
- Fax
- (770) 213-2524
- NPI assigned
- Apr 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | BP10040924 | TX | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 079730 | GA | Primary |
Addresses
Primary practice location
15 Reinhardt College Pkwy
Suite 109
Canton, GA 30114
Mailing address
15 Reinhardt College Pkwy
Suite 109
Canton, GA 30114
Phone (770) 213-2520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15 Reinhardt College Pkwy
Suite 100
Canton, GA 30114-5259
Phone (404) 351-5959
Hospital & facility affiliations
- Piedmont Mountainside Hospital Inc
- Piedmont Hospital, Inc
- Piedmont Cartersville Medical Center
- Union General Hospital
- Northside Hospital Cherokee
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079730 | GA | MD | Endocrinology, Diabetes & Metabolism Physician |
| BP10040924 | TX | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Providers LLC | Current | Accepting new patients |
Locations
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
15 Reinhardt College Pkwy
Ste 109
Canton, GA 30114
Phone (770) 213-2520
15 Reinhardt College Pkwy
Ste 100
Canton, GA 30114
Phone (770) 479-1985
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cartersville, GA
- NPI 1780638833
-
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
-
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
-
- General Acute Care Hospital
- Blairsville, GA
- NPI 1487684122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1710159488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 REINHARDT COLLEGE PKWY",
"address_2": "SUITE 109",
"city": "CANTON",
"state": "GA",
"postal_code": "30114",
"telephone_number": "770-213-2520",
"fax_number": "770-213-2524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 REINHARDT COLLEGE PKWY",
"address_2": "SUITE 109",
"city": "CANTON",
"state": "GA",
"postal_code": "30114",
"telephone_number": "770-213-2520",
"fax_number": "770-213-2524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "MADIHA",
"middle_name": "IQBAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TX",
"license": "BP10040924",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "GA",
"license": "079730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.