Active NPI
Ali R Khan, MD
- Family Medicine Physician
- Marana, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 45692
- Practice address
- 13395 N Marana Main St
Marana, AZ 85653-7008 - Phone
- (520) 682-4111
- Fax
- (520) 682-3817
- NPI assigned
- Feb 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 003975 | GA | |
| Family Medicine Physician | 207Q00000X | 45692 | AZ | Primary |
Addresses
Primary practice location
13395 N Marana Main St
Marana, AZ 85653-7008
Mailing address
PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 716399 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone (432) 221-1111
4001 W 15TH St
245 Usmd Plano W
Plano, TX 75093-5839
Phone (972) 596-5222
800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543
900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000
9255 Dallas Pkwy
Suite 110
Frisco, TX 75033-4211
Phone (972) 377-1490
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45692 | AZ | MD | Family Medicine Physician |
| 003975 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Clinic of North Texas, PLLC | Family Medicine | Current | Accepting new patients |
| Medical Clinic of North Texas PLLC | Current | Accepting new patients | |
| MMH Physicians | Current | Accepting new patients | |
| Medical Clinic of North Texas, PLLC | Family Medicine | Current | Accepting new patients |
| Lonestar Hospital Medicine Associates, PA | Current | Accepting new patients | |
| Marana Health Center, Inc | Past | Accepting new patients |
Locations
2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117
900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000
8080 State Highway 121
Ste 300
McKinney, TX 75070
Phone (972) 268-9383
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850
4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
Interoperability endpoints
- ali.khan.p52@direct.tenet.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ali.khan@wellmed.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Arlington, TX
- NPI 1033167234
Family Medicine
-
- Hospitalist Physician
- Midland, TX
- NPI 1851764963
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
-
- Physical Therapist
- Cedar Park, TX
- NPI 1871132357
-
- Radiation Oncology Clinic/Center
- Arlington, TX
- NPI 1184131625
-
- Internal Medicine Physician
- Irving, TX
- NPI 1538117742
Family Medicine
-
- Clinic Pharmacy
- Tucson, AZ
- NPI 1073072450
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1043240682
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1023180502
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1689628984
-
- General Acute Care Hospital
- McKinney, TX
- NPI 1437102639
-
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
-
- General Acute Care Hospital
- Allen, TX
- NPI 1548291883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1760714380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "MARANA",
"state": "AZ",
"postal_code": "856530188",
"telephone_number": "520-682-4111",
"fax_number": "520-818-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13395 N MARANA MAIN ST",
"city": "MARANA",
"state": "AZ",
"postal_code": "856537008",
"telephone_number": "520-682-4111",
"fax_number": "520-682-3817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ALI",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-06",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "003975",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "45692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "716399",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marana, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.