Individual provider Active NPI

Nadir Mohammad Khan, D.O.

  • Diagnostic Radiology Physician
  • Mount Clemens, MI
National Provider Identifier
1720286230
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5101015667 Issued in MI
Practice address
1000 Harrington St
Diagnostic Radiology Dept
Mount Clemens, MI 48043-2920
Phone
(734) 677-7400
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5101015667 MI Primary

Addresses

Primary practice location

1000 Harrington St
Diagnostic Radiology Dept
Mount Clemens, MI 48043-2920

Mailing address

PO Box 1108
Attn: Barb Simmons
Ann Arbor, MI 48106-1108
Phone (734) 677-7400

Other identifiers 3

IdentifierTypeStateIssuer
1720286230MedicaidMI
310E011330OtherMIBCBS OF MI GROUP PIN
CI8050OtherMIMEDICARE RR GROUP PIN/PALMETTO GBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL, OH, TX, TN, NY6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20080808000816 MI Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1456425446 Reassigns benefits to 12 organizations
I20180713000313 FL Practitioner - Diagnostic Radiology 1456425446 Reassigns benefits to 5 organizations
I20181219002878 OH Practitioner - Diagnostic Radiology 1456425446
I20201203000285 TX Practitioner - Diagnostic Radiology 1456425446
I20220527001089 TN Practitioner - Diagnostic Radiology 1456425446
I20250326001603 NY Practitioner - Diagnostic Radiology 1456425446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Michigan State University College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians

Practice addresses (Care Compare)

1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000

2703 Turtle Lake Dr
Bloomfield Hills, MI 48302-0767
Phone (747) 293-9005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Apr 6, 2024 Accepting new patients
Adventhealth Primary Care Network Inc CurrentSince Apr 6, 2024 Accepting new patients
Ain Imaging PLC Diagnostic Radiology CurrentSince Jun 1, 2014 Accepting new patients
Mobile X-Ray of Austin Inc CurrentSince Apr 13, 2021 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Jan 22, 2025 Accepting new patients
Florida Radiology Imaging at Lake Mary LLC Diagnostic Radiology CurrentSince Jun 23, 2022 Accepting new patients
NDS Radiology Inc. Diagnostic Radiology CurrentSince Jun 1, 2014 Accepting new patients
Portable Medical Diagnostics, Inc CurrentSince Nov 17, 2025 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Nov 13, 2024 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Nov 13, 2024 Accepting new patients
McLaren Bay Region CurrentSince Aug 19, 2025 Accepting new patients
Ultra Healthcare Services, Inc CurrentSince Jul 28, 2015 Accepting new patients
Symphony Diagnostic Services No 1 LLC CurrentSince Aug 6, 2017 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Jan 22, 2025 Accepting new patients
McLaren Bay Region CurrentSince Aug 19, 2025 Accepting new patients
Basha Diagnostics P C Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Shores Diagnostic LLC CurrentSince Jul 29, 2020 Accepting new patients
Radiographics, Inc CurrentSince Jan 1, 2023 Accepting new patients
Rapid Radiology, Inc. Diagnostic Radiology CurrentSince Sep 26, 2018 Accepting new patients
McLaren Flint Diagnostic Radiology CurrentSince Aug 25, 2025 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Nov 13, 2024 Accepting new patients
Mobile X-Rays on Demand Limited Liability Company CurrentSince Oct 5, 2022 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Sep 15, 2024 Accepting new patients
McLaren Central Michigan CurrentSince Aug 25, 2025 Accepting new patients
Suntree Endocrinology Current Accepting new patients
General Radiology Associates, P.C. Diagnostic Radiology CurrentSince Jul 1, 2009 Accepting new patients
McLaren Central Michigan CurrentSince Aug 25, 2025 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Mar 9, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Apr 6, 2024 Accepting new patients
McLaren Flint CurrentSince Aug 25, 2025 Accepting new patients
McLaren Hospital Group Diagnostic Radiology CurrentSince Sep 9, 2025 Accepting new patients
Florida Radiology Associates LLC Diagnostic Radiology CurrentSince Sep 8, 2024 Accepting new patients
McLaren Central Michigan Current Accepting new patients
Suntree Internal Medicine, LLC. CurrentSince Aug 1, 2024 Accepting new patients
Adventist Health System-Sunbelt, Inc Past Accepting new patients
NDS Radiology PLLC PastSince Feb 23, 2025 Accepting new patients
McLaren Macomb Past Accepting new patients

Locations (25 of 67)

555 Washington St
San Diego, CA 92103
Phone (619) 260-8300

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

5190 SW 8th St
Coral Gables, FL 33134
Phone (305) 445-1585

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

3050 Champion Ring Rd
Fort Myers, FL 33905
Phone (239) 313-2900

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142

801 Oak St
Green Cv Spgs, FL 32043
Phone (904) 215-7015

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606

6619 N Wickham Rd
Melbourne, FL 32940
Phone (321) 259-9500

765 W Nasa Blvd
Melbourne, FL 32901
Phone (321) 409-4044

17021 US Highway 441
Mount Dora, FL 32757
Phone (352) 323-5762

25 S Terry Ave
Ste 220
Orlando, FL 32805
Phone (407) 641-2446

2250 Bedford Rd
Orlando, FL 32803
Phone (407) 303-1766

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

3060 Melaleuca Ln
Palm Springs, FL 33461
Phone (561) 336-7000

5579 S Orange Ave
Pine Castle, FL 32809
Phone (407) 241-0324

5555 W Blue Heron Blvd
Riviera Beach, FL 33418
Phone (561) 659-1000

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

4555 S Manhattan Ave
Tampa, FL 33611
Phone (813) 540-0093

4801 N Howard Ave
Tampa, FL 33603
Phone (727) 581-4800

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

Organizations & group practices 39

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.

View all 39

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1720286230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1108",
            "address_2": "ATTN: BARB SIMMONS",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481061108",
            "telephone_number": "734-677-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HARRINGTON ST",
            "address_2": "DIAGNOSTIC RADIOLOGY DEPT",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432920",
            "telephone_number": "734-677-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NADIR",
        "middle_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101015667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720286230",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI GROUP PIN",
            "identifier": "310E011330",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP PIN/PALMETTO GBA",
            "identifier": "CI8050",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.