Individual provider Active NPI

Lubna Khan, MD

  • Internal Medicine Physician
  • Renton, WA
National Provider Identifier
1770529489
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00038733 Issued in WA
Practice address
606 Oakesdale Ave SW Ste C200
Renton, WA 98057
Phone
(866) 259-1629
Fax
(855) 666-8541
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00038733 WA Primary

Addresses

Primary practice location

606 Oakesdale Ave SW Ste C200
Renton, WA 98057

Mailing address

606 Oakesdale Ave SW Ste C200
Renton, WA 98057-5227
Phone (866) 259-1629

Other practice location 1

16233 Sylvester Rd SW
Suite 230
Burien, WA 98166-3045
Phone (206) 957-6036

Other practice location 2

16233 Sylvester Rd SW
Suite 230
Burien, WA 98166-3045
Phone (206) 957-6036

Other names 1

  • Lubna Nawaz Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040528000131 WA Practitioner - Internal Medicine 5395726913 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients
Iah of Michigan, PLLC Internal Medicine CurrentSince Jul 22, 2022 Accepting new patients
Vpa PC Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients
Union Hill Healthcare, Inc. Past Accepting new patients
Highline Medical Group Inc Internal Medicine Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

606 Oakesdale Ave SW
Ste C200
Renton, WA 98057
Phone (866) 259-1629

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1770529489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 OAKESDALE AVE SW STE C200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575227",
            "telephone_number": "866-259-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 OAKESDALE AVE SW STE C200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98057",
            "telephone_number": "866-259-1629",
            "fax_number": "855-666-8541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16233 Sylvester Rd SW",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981663045",
            "country_code": "US",
            "telephone_number": "206-957-6036",
            "fax_number": "206-243-0341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16233 Sylvester Rd SW",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981663045",
            "country_code": "US",
            "telephone_number": "206-957-6036",
            "fax_number": "206-243-0341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "LUBNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00038733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUBNA",
            "last_name": "NAWAZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.