Active NPI
Iram H Khan, M.D.
- Internal Medicine Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 49285
- Practice address
- 4315 E Main St
Mesa, AZ 85205 - Phone
- (480) 870-7500
- Fax
- (480) 870-7502
- NPI assigned
- Jul 2, 2007
- Last updated
- Jun 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125049967 | IL | |
| Internal Medicine Physician | 207R00000X | 49285 | AZ | Primary |
Addresses
Primary practice location
4315 E Main St
Mesa, AZ 85205
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (615) 315-5257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 512420 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (602) 532-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125049967 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dvma, LLC | Internal Medicine | Current | Accepting new patients |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Archwell Health Professional Services of Arizona, LLC | Internal Medicine | Current | Accepting new patients |
| VHS Acquisition Subsidiary Number 1 Inc | Past | Accepting new patients |
Locations
1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
4315 E Main St
Mesa, AZ 85205
Phone (480) 654-0260
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
13350 N 94th Dr
Ste A101
Peoria, AZ 85381
Phone (623) 933-1010
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
4420 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 858-4295
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Peoria, AZ
- NPI 1194893800
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1558026880
-
- Multi-Specialty Clinic/Center
- San Tan Valley, AZ
- NPI 1275889891
-
dba Abrazo Scottsdale Campus
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1326022732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Abrazo Scottsdale Campus
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1326022732
-
dba Abrazo Arrowhead Campus
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
dba Abrazo Peoria Emergency Center
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1740487719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 600",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372055250",
"telephone_number": "615-315-5257",
"fax_number": "615-692-0547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 E MAIN ST",
"city": "MESA",
"state": "AZ",
"postal_code": "85205",
"telephone_number": "480-870-7500",
"fax_number": "480-870-7502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "IRAM",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125049967",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "49285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "512420",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.