Individual provider Active NPI

Adil Khan, M.D.

  • Internal Medicine Physician
  • Muncie, IN
National Provider Identifier
1780117176
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01084161A Issued in IN
Practice address
2401 W University Ave
Muncie, IN 47303-3428
Phone
(765) 741-1515
Fax
(765) 751-5087
NPI assigned
Apr 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01084161A IN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2401 W University Ave
Muncie, IN 47303-3428

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

IU Health Ball Memorial Hospital,
2525 W. University Ave, Suite 401
Muncie, IN 47303
Phone (765) 747-4306

Other practice location 2

3001 Hospital Dr
Prince George's Hospital Dept. of Medicine 5th Floor
Cheverly, MD 20785-1189
Phone (301) 618-3776

Other practice location 3

3001 Hospital Dr
Prince George's Hospital Dept. of Medicine 5th Floor
Cheverly, MD 20785-1189
Phone (301) 618-3776

Other identifiers 2

IdentifierTypeStateIssuer
300015174MedicaidIN
M12240470OtherINMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akhan@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200827001825 IN Practitioner - Internal Medicine 5597003202 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-3111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Sep 7, 2020 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center Internal Medicine CurrentSince Sep 7, 2020 Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

8240 Naab Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 338-7450

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

2525 W University Ave
Ste 401
Muncie, IN 47303
Phone (765) 286-0236

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1780117176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W UNIVERSITY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033428",
            "telephone_number": "765-741-1515",
            "fax_number": "765-751-5087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "IU Health Ball Memorial Hospital,",
            "address_2": "2525 W. University Ave, Suite 401",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "47303",
            "country_code": "US",
            "telephone_number": "765-747-4306",
            "fax_number": "301-618-2986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 Hospital Dr",
            "address_2": "Prince George's Hospital Dept. of Medicine 5th Floor",
            "address_purpose": "LOCATION",
            "city": "Cheverly",
            "state": "MD",
            "postal_code": "207851189",
            "country_code": "US",
            "telephone_number": "301-618-3776",
            "fax_number": "301-618-2986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 Hospital Dr",
            "address_2": "Prince George's Hospital Dept. of Medicine 5th Floor",
            "address_purpose": "LOCATION",
            "city": "Cheverly",
            "state": "MD",
            "postal_code": "207851189",
            "country_code": "US",
            "telephone_number": "301-618-3776",
            "fax_number": "301-618-2986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ADIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01084161A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300015174",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M12240470",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akhan@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 W University Ave",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473033428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.