Qudsia Khan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD60025028 Issued in WA

Practice address

1824 S Meridian
Puyallup, WA 98371-7514

Phone

(253) 200-0300

NPI assigned

May 1, 2008

Last updated

May 21, 2014By the provider in NPPES

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

Other names 1

• Qudsia Batool Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rainier Internal Medicine LLCGroup PAC ID 7911049242, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
• Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rainier Internal Medicine LLC

  dba Northwest Integrated Health

  • Primary Care Clinic/Center
  • Lakewood, WA
  • NPI 1972735157

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Rainier Internal Medicine LLC

  dba Northwest Integrated Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Puyallup, WA
  • NPI 1356716351
  NPD (past)

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

• Multicare Health System

  dba Tacoma General Allenmore

  • General Acute Care Hospital
  • Tacoma, WA
  • NPI 1366556227
  Care Compare affiliation
• Multicare Health System

  dba MultiCare Good Samaritan Hospital

  • General Acute Care Hospital
  • Puyallup, WA
  • NPI 1841231461
  Care Compare affiliation

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1760658645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 23RD AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724527",
            "telephone_number": "253-200-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717514",
            "telephone_number": "253-200-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "QUDSIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125050522",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60025028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QUDSIA",
            "last_name": "BATOOL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dominic Kenyanya Keya, NP
• Keystone Counseling
• Keystone Therapy
• Ahmed Hamdy El-Houssainy Khalifa
• Jessica Santiago Khan, MD
• Rizwana Khan, M.D.
• Salochna Khetpal
• Caitlyn K Ki'Ili-Reveira
• Gary C Kiang, RPH
• Kids Choice Dental Puyallup, LLC (Kids Choice Dental)

• Internal Medicine Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.