Individual provider Active NPI

Maher Khan, M.D.

  • Orthopaedic Surgery Physician
  • Northridge, CA
National Provider Identifier
1750638946
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A125999 Issued in CA
Practice address
18546 Roscoe Blvd Ste 220a
Northridge, CA 91324-4663
Phone
(818) 993-4403
Fax
(661) 259-8793
NPI assigned
Aug 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A125999 CA
Orthopaedic Surgery Physician 207X00000X A125999 CA Primary

Addresses

Primary practice location

18546 Roscoe Blvd Ste 220a
Northridge, CA 91324-4663

Mailing address

9227 Reseda Blvd # 490
Northridge, CA 91324-3137
Phone (949) 588-2190

Other identifiers 1

IdentifierTypeStateIssuer
103I207734MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140520001603 CA Practitioner - Orthopedic Surgery 5193972891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Chicago College of Medicine and Surgery, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23504 Lyons Ave
Suite 101B
Newhall, CA 91321-2530
Phone (661) 259-8010

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shaik M. Saheb, MD, Inc. Orthopaedic Surgery CurrentSince Aug 25, 2013 Accepting new patients
MD Surgical Solutions, LLC CurrentSince May 24, 2014 Accepting new patients
Womens Surgicenter Inc CurrentSince May 21, 2020 Accepting new patients

Locations

18546 Roscoe Blvd
Ste 220A
Northridge, CA 91324
Phone (818) 886-0600

9227 Reseda Blvd
Northridge, CA 91324
Phone (818) 631-1064

23504 Lyons Ave
Ste 101B
Santa Clarita, CA 91321
Phone (661) 259-8010

15477 Ventura Blvd
Ste 103
Sherman Oaks, CA 91403
Phone (818) 641-1214

28049 Smyth Dr
Valencia, CA 91355
Phone (661) 705-9706

Organizations & group practices 3

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.

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": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1750638946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9227 RESEDA BLVD # 490",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243137",
            "telephone_number": "949-588-2190",
            "fax_number": "949-588-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18546 ROSCOE BLVD STE 220A",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244663",
            "telephone_number": "818-993-4403",
            "fax_number": "661-259-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MAHER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A125999",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A125999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103I207734",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.