Active NPI
Abdul Aleem Khan, MD
- Psychiatry Physician
- Taylor, MI
National Provider Identifier
1720164700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301071505
- Practice address
- 12345 Telegraph Rd Ste 9
Taylor, MI 48180-6860 - Phone
- (313) 265-0627
- NPI assigned
- Oct 31, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301071505 | MI | Primary |
Addresses
Primary practice location
12345 Telegraph Rd Ste 9
Taylor, MI 48180-6860
Mailing address
12345 Telegraph Rd Ste 9
Taylor, MI 48180-6860
Phone (313) 571-1200
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36036 | Other | HEALTH PLAN OF MICHIGAN | |
| 530558 | Other | VALUE OPTIONS | |
| H71202 | Other | HAP | |
| 104690368 | Medicaid | MI | |
| 9374069 | Other | PHCS | |
| 2608233242 | Other | BCBS | |
| 024240 | Other | MIDWEST HEALTH PLAN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Home Health Care Inc. | Past | Accepting new patients | |
| Geriatric Psychiatric Services PLLC | Past | Accepting new patients | |
| Therapy Management Enterprises Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Home Health Agency
- Southgate, MI
- NPI 1942451752
-
- Physical Therapy Clinic/Center
- Ferndale, MI
- NPI 1467537001
-
- Clinical Psychologist
- Indianapolis, IN
- NPI 1073753323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559952000000",
"number": "1720164700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12345 TELEGRAPH RD STE 9",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481806860",
"telephone_number": "313-571-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12345 TELEGRAPH RD STE 9",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481806860",
"telephone_number": "313-265-0627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ABDUL",
"middle_name": "ALEEM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2019-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301071505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF MICHIGAN",
"identifier": "36036",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "530558",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "H71202",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104690368",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9374069",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2608233242",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST HEALTH PLAN",
"identifier": "024240",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.