Individual provider Active NPI

Khurshid A. Khan, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Columbia, MO
National Provider Identifier
1740201433
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
2004009609 Issued in MO
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

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
204447601MedicaidMO
765461OtherMOHEALTHLINK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, DC, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080924000413 WV Practitioner - Internal MedicinePractitioner - Emergency 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 155 clinicians

Practice addresses (Care Compare)

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 260-1443

Hospital & facility affiliations

  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME70991WVMDEmergency Medicine Physician
01062133AINMDEndocrinology, Diabetes & Metabolism Physician
2004009609MOMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Virginia LLC CurrentSince Apr 14, 2024 Accepting new patients
City Hospital, Inc. Emergency Medicine CurrentSince Nov 19, 2024 Accepting new patients
Hampshire Memorial Hospital, Inc. CurrentSince May 12, 2018 Accepting new patients
City Hospital, Inc. CurrentSince Nov 19, 2024 Accepting new patients
Hampshire Memorial Hospital, Inc. Current Accepting new patients
Hampshire Memorial Hospital Inc. CurrentSince May 12, 2018 Accepting new patients
Hospitalist Medicine Physicians of West Virginia- TCG PLLC CurrentSince Oct 15, 2022 Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC CurrentSince Nov 1, 2019 Accepting new patients
Vanguard Medical Group, LLC CurrentSince Jan 14, 2026 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Mar 1, 2011 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.

View all 18

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

Verify at the official NPI Registry.