Active NPI
Matloob A Khan, MD
- Orthopaedic Surgery Physician
- Huntington, IN
National Provider Identifier
1720151475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 31998
- Practice address
- 4850 N Meridian Rd
Huntington, IN 46750-9621 - Phone
- (260) 356-0119
- Fax
- (260) 356-5513
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 31998 | TN | Primary |
Addresses
Primary practice location
4850 N Meridian Rd
Huntington, IN 46750-9621
Mailing address
4850 N Meridian Rd
Huntington, IN 46750-9621
Phone (260) 356-0119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3378247 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31998 | TN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morgan Health Services, Inc | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Martinsville, IN
- NPI 1033110564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1720151475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 N MERIDIAN RD",
"city": "HUNTINGTON",
"state": "IN",
"postal_code": "467509621",
"telephone_number": "260-356-0119",
"fax_number": "260-356-5513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 N MERIDIAN RD",
"city": "HUNTINGTON",
"state": "IN",
"postal_code": "467509621",
"telephone_number": "260-356-0119",
"fax_number": "260-356-5513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "MATLOOB",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "31998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3378247",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.