Individual provider Active NPI

Ahsan A Khan, M.D.

  • Gastroenterology Physician
  • Orlando, FL
National Provider Identifier
1780979682
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME141019 Issued in FL
Practice address
258 S Chickasaw TRL Ste 300
Orlando, FL 32825-3501
Phone
(407) 821-3674
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME141019 FL Primary
Gastroenterology Physician 207RG0100X 280767 NY
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

258 S Chickasaw TRL Ste 300
Orlando, FL 32825-3501

Mailing address

258 S Chickasaw TRL Ste 300
Orlando, FL 32825-3501
Phone (407) 821-3674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150911000365 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 0840507687 Reassigns benefits to 1 organization
I20250929003993 FL Practitioner - Gastroenterology 0840507687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

258 S Chickasaw TRL
Orlando, FL 32825-3501

258 S Chickasaw TRL
Suite 201
Orlando, FL 32825-3523
Phone (407) 303-6626

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy115
Upper gastrointestinal (GI) endoscopy for acid reflux67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME141019FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meeting House Lane Medical Practice PC CurrentSince Jul 11, 2017 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 23, 2025 Accepting new patients
Samaritan Hospital of Troy, New York CurrentSince Nov 19, 2016 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 23, 2025 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

258 S Chickasaw Trl
Ste 300
Orlando, FL 32825
Phone (407) 303-6330

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

182 W Montauk Hwy
Ste B
Hampton Bays, NY 11946
Phone (631) 594-3910

325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

147 Beach Rd
Ste D
Westhampton Beach, NY 11978
Phone (631) 283-0918

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Optimum HealthCare HMO Network
  • Healthfirst Medicare Network H5989
  • Freedom Health HMO Network
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: ahsan.khan.p1@direct.shproviders.nextgenshare.com

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 2

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1780979682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 S CHICKASAW TRL STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253501",
            "telephone_number": "407-821-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 S CHICKASAW TRL STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253501",
            "telephone_number": "407-821-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AHSAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME141019",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "280767",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.