Active NPI
Nasim A Khan
- Rheumatology Physician
- Little Rock, AR
National Provider Identifier
1710909098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- E-5873
- Practice address
- 10001 Lile Dr
Little Rock, AR 72205-6217 - Phone
- (501) 552-0500
- Fax
- (501) 604-8758
- NPI assigned
- Jul 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | E-5873 | AR | Primary |
Addresses
Primary practice location
10001 Lile Dr
Little Rock, AR 72205-6217
Mailing address
PO Box 23410
Little Rock, AR 72221-3410
Phone (501) 224-1690
Other practice location 1
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1I8763 | Other | AR | MEDICARE ID FOR CHI ST. VINCENT LITTLE ROCK DIAGNOSTIC CLINIC |
| 177897001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Internal Medicine | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| St Vincent Physician Clinics LLC | Past | Accepting new patients | |
| Heart Center of Southern Maryland, L.L.P. | Past | Accepting new patients |
Locations
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
Interoperability endpoints
- nasim.khan.p1@direct.chi-lrdc.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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
- Little Rock, AR
- NPI 1588654016
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- Durable Medical Equipment & Medical Supplies
- Little Rock, AR
- NPI 1275056004
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1134558398
-
- Cardiovascular Disease Physician
- Waldorf, MD
- NPI 1669451175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1710909098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23410",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722213410",
"telephone_number": "501-224-1690",
"fax_number": "501-224-1927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 LILE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056217",
"telephone_number": "501-552-0500",
"fax_number": "501-604-8758"
}
],
"practiceLocations": [
{
"address_1": "4301 W Markham St # 783",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-686-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "NASIM",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "AR",
"license": "E-5873",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID FOR CHI ST. VINCENT LITTLE ROCK DIAGNOSTIC CLINIC",
"identifier": "1I8763",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177897001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.