Individual provider Active NPI

Sher Zaman Khan, MD

  • Emergency Medicine Physician
  • Tazewell, VA
National Provider Identifier
1730102807
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101055209 Issued in VA
Practice address
388 Ben Bolt Ave
Tazewell, VA 24651
Phone
(276) 988-8740
Fax
(276) 988-5941
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101055209 VA Primary

Addresses

Primary practice location

388 Ben Bolt Ave
Tazewell, VA 24651

Mailing address

388 Ben Bolt Ave
Tazewell, VA 24651-5386
Phone (276) 988-8740

Other practice location 1

12033 Agency Rd
parker
Parker, AZ 85344-7718
Phone (928) 669-3296

Other identifiers 1

IdentifierTypeStateIssuer
403890MedicaidAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100712000290 VA Practitioner - Internal MedicinePractitioner - Emergency Medicine 1456387414 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Emergency Services, Inc. Emergency Medicine CurrentSince Jun 1, 2010 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Nov 7, 2010 Accepting new patients
Ohio Valley Physicians Inc Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Carilion Medical Center CurrentSince Jan 2, 2011 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Feb 1, 2020 Accepting new patients

Locations

1535 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-1125

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

388 Ben Bolt Ave
Tazewell, VA 24651
Phone (276) 988-2506

Interoperability endpoints

  • Direct secure messaging: skhan21393@direct.carilionclinic.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1730102807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 BEN BOLT AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246515386",
            "telephone_number": "276-988-8740",
            "fax_number": "276-988-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 BEN BOLT AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "24651",
            "telephone_number": "276-988-8740",
            "fax_number": "276-988-5941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12033 Agency Rd",
            "address_2": "parker",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "AZ",
            "postal_code": "853447718",
            "country_code": "US",
            "telephone_number": "928-669-3296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHER",
        "middle_name": "ZAMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101055209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403890",
            "state": "AS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, VA

Sources for this page

Verify at the official NPI Registry.