Rabia Mumtaz Khan

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

036162958 Issued in IL

Practice address

100 N Academy Ave
Danville, PA 17822-9800

Phone

(570) 271-6211

NPI assigned

Apr 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, FL2 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 2

Specialty

Diagnostic Radiology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Imaging Consultants LLCGroup PAC ID 6800882374, 13 clinicians

Health Village Imaging LLCGroup PAC ID 9537263223, 27 clinicians

Advanced Shore Imaging AssociatesGroup PAC ID 1254649395, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advanced Shore Imaging Associates

  • Diagnostic Radiology Physician
  • Northfield, NJ
  • NPI 1164808812

  IL

  Medicare reassignment Care Compare group NPD
• Health Village Imaging, LLC

  • Radiology Clinic/Center
  • Manahawkin, NJ
  • NPI 1194810978

  IL

  Medicare reassignment Care Compare group NPD
• Valley Imaging Consultants, LLC

  • Diagnostic Radiology Physician
  • Aurora, IL
  • NPI 1215987045
  Medicare reassignment Care Compare group
• Advanced Radiology Solutions

  • Diagnostic Radiology Physician
  • Toms River, NJ
  • NPI 1467863068

  IL

  Medicare reassignment NPD
• Coastal Imaging LLC

  • Diagnostic Radiology Physician
  • Manahawkin, NJ
  • NPI 1710334727

  IL

  Medicare reassignment NPD
• Saint Anthony Health Affiliates

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1881086064

  Vascular & Interventional Radiology

  Medicare reassignment NPD
• Westchester General Hospital, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Miami, FL
  • NPI 1578183331
  Medicare reassignment NPD
• Westchester General Hospital, Inc.

  • Gastroenterology Physician
  • Miami, FL
  • NPI 1801589197
  NPD

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

• Copley Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1295882561
  Care Compare affiliation

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1730575580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18109 CUB CIR",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158013",
            "telephone_number": "650-799-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "570-271-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RABIA",
        "middle_name": "MUMTAZ",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036162958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farrukh Ahmed Khan, MD
• Huda Fazal Khan, PHARMD
• Mahmud S. Khan, MD
• Murtaza Rahman Khan, MD
• Nayab Khan, DDS
• Shehza Zeb Khan, D.O.
• Sobia N Khan, D.O
• Ivan Khapov, MD
• Harshit S Khara, M.D.
• Prakash Kharel

• Vascular & Interventional Radiology Physician in Danville, PA
• Providers in Danville, PA by specialty
• Vascular & Interventional Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.