NPIMap

Individual provider Active NPI

Awais M Khan, M.D.

  • Hematology & Oncology Physician
  • Flagstaff, AZ
National Provider Identifier
1720233018
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
74661 Issued in AZ
Practice address
1325 N Beaver St
Flagstaff, AZ 86001-3121
Phone
(928) 773-2271
NPI assigned
Dec 1, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 69611 MN
Internal Medicine Physician 207R00000X ME120878 FL
Hematology & Oncology Physician 207RH0003X 31179 AL
Hematology & Oncology Physician 207RH0003X CDR.0002408 CO
Medical Oncology Physician 207RX0202X ME120878 FL
Medical Oncology Physician 207RX0202X 69611 MN
Hematology & Oncology Physician 207RH0003X 74661 AZ Primary

Addresses

Primary practice location

1325 N Beaver St
Flagstaff, AZ 86001-3121

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-1166

Other practice location 1

2004 Lake Ave
Pueblo, CO 81004-3536
Phone (719) 577-3700

Other practice location 2

701 Dellwood St S
Cambridge, MN 55008-1920
Phone (763) 689-8700

Other identifiers 1

IdentifierTypeStateIssuer
016065200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akhan557528@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL, MN, AZ4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20130719000408 AL Practitioner - Medical OncologyPractitioner - HematologyPractitioner - Hematology/Oncology 5294971891 Reassigns benefits to 2 organizations
I20140902000747 FL Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 5294971891 Reassigns benefits to 1 organization
I20211209002574 MN Practitioner - Medical OncologyPractitioner - Internal Medicine 5294971891 Reassigns benefits to 1 organization
I20241008003670 AZ Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5294971891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Birmingham Hematology Oncology Assoc LLCGroup PAC ID 1557265741, 31 clinicians

Practice addresses (Care Compare)

1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249

2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone (928) 226-6400

269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000

3686 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 592-5077

7810 N US Hwy 89
Flagstaff, AZ 86004-6255
Phone (928) 522-8375

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
79.44
Promoting interoperability
92
Improvement activities
40
Cost
75.2

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc Medical Oncology CurrentSince Nov 30, 2015 Accepting new patients
Northern Arizona Healthcare Corporation Internal Medicine CurrentSince Aug 30, 2024 Accepting new patients
Oak Mountain Group Services, LLC Current Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Aug 30, 2024 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Apr 18, 2018 Accepting new patients
Birmingham Hematology Oncology Assoc LLC Hematology & Oncology CurrentSince Aug 11, 2017 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients

Locations

737 Memorial Dr
Ste 2
Bessemer, AL 35022
Phone (205) 481-4511

5000 Medical West Way
Ste 610
Bessemer, AL 35022
Phone (205) 481-4511

3686 Grandview Pkwy
Ste 510
Birmingham, AL 35243
Phone (205) 971-1750

880 Montclair Rd
Ste 675
Birmingham, AL 35213
Phone (205) 592-5077

500 Office Park Dr
Ste 400
Mountain Brk, AL 35223
Phone (205) 803-4384

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1325 N Beaver St
Flagstaff, AZ 86001
Phone (928) 773-2271

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

42 Caroline St
Unit A
Bunnell, FL 32110
Phone (386) 401-6688

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: akhan557528@excellian.direct.allina.com

Organizations & group practices 8

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1720233018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013121",
            "telephone_number": "928-773-2271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2004 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810043536",
            "country_code": "US",
            "telephone_number": "719-577-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Dellwood St S",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MN",
            "postal_code": "550081920",
            "country_code": "US",
            "telephone_number": "763-689-8700",
            "fax_number": "763-689-7816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AWAIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "69611",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME120878",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AL",
            "license": "31179",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CO",
            "license": "CDR.0002408",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME120878",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MN",
            "license": "69611",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "74661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016065200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akhan557528@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "701 Dellwood St S",
            "city": "Cambridge",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550081920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.