Active NPI
Khurshid A. Khan, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 2004009609
- Practice address
- 1 Hospital Dr
Columbia, MO 65212-0001 - Phone
- (573) 882-2273
- Fax
- (573) 884-4609
- NPI assigned
- Jul 21, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME70991 | WV | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 01062133A | IN | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 2004009609 | MO | Primary |
Addresses
Primary practice location
1 Hospital Dr
Columbia, MO 65212-0001
Mailing address
220 Campus Blvd
Ste 100
Winchester, VA 22601-2888
Phone (540) 536-5100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204447601 | Medicaid | MO | |
| 765461 | Other | MO | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, DC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080924000413 | WV | Practitioner - Internal Medicine | 0345240776 | Reassigns benefits to 5 organizations |
| I20240517000739 | DC | Practitioner - Internal Medicine | 0345240776 | Reassigns benefits to 1 organization |
| I20260220000798 | FL | Practitioner - Endocrinology | 0345240776 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- City Hospital Inc
Practice addresses (Care Compare)
2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 260-1443
Hospital & facility affiliations
- Berkeley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME70991 | WV | MD | Emergency Medicine Physician |
| 01062133A | IN | MD | Endocrinology, Diabetes & Metabolism Physician |
| 2004009609 | MO | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Virginia LLC | Current | Accepting new patients | |
| City Hospital, Inc. | Emergency Medicine | Current | Accepting new patients |
| Hampshire Memorial Hospital, Inc. | Current | Accepting new patients | |
| City Hospital, Inc. | Current | Accepting new patients | |
| Hampshire Memorial Hospital, Inc. | Current | Accepting new patients | |
| Hampshire Memorial Hospital Inc. | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of West Virginia- TCG PLLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of West Virginia, PLLC | Current | Accepting new patients | |
| Vanguard Medical Group, LLC | Current | Accepting new patients | |
| Health Care Alliance, Inc. | Emergency Medicine | Current | Accepting new patients |
| City Hospital Inc | Current | Accepting new patients | |
| Inphynet South Broward LLC | Emergency Medicine | Past | Accepting new patients |
| Greenbrier Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
| City Hospital, Inc | Past | Accepting new patients | |
| Callaway Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Riverside Physician Services Inc | Past | Accepting new patients |
Locations
3401 Davie Blvd
Ft Lauderdale, FL 33312
Phone (954) 368-9773
1601 N Palm Ave
Ste 101
Pembroke Pines, FL 33026
Phone (954) 436-6660
703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134
329 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4932
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
Organizations & group practices 18
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.
-
- Emergency Medicine Physician
- Beckley, WV
- NPI 1730128760
Emergency Medicine, WV
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1770756991
DC
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1386122844
WV
-
- Internal Medicine Physician
- Wheeling, WV
- NPI 1649575101
WV
-
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
-
- Psychiatric Hospital Unit
- Martinsburg, WV
- NPI 1851539381
-
- Skilled Nursing Facility
- Martinsburg, WV
- NPI 1487745436
-
- Internal Medicine Physician
- Martinsburg, WV
- NPI 1194141499
Hospital & facility affiliations 1
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": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1740201433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 CAMPUS BLVD",
"address_2": "STE 100",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012888",
"telephone_number": "540-536-5100",
"fax_number": "540-536-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652120001",
"telephone_number": "573-882-2273",
"fax_number": "573-884-4609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "KHURSHID",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "ME70991",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IN",
"license": "01062133A",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MO",
"license": "2004009609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204447601",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "765461",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.