NPIMap

Individual provider Active NPI

Imran T. Khawaja, MD

  • Pulmonary Disease Physician
  • Huntington, WV
National Provider Identifier
1790740967
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
17786 Issued in WV
Practice address
1249 15TH Street
Suite 3000
Huntington, WV 25701
Phone
(304) 691-1000
Fax
(304) 691-1693
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 17786 WV
Sleep Medicine (Internal Medicine) Physician 207RS0012X 17786 WV
Pulmonary Disease Physician 207RP1001X 17786 WV Primary

Addresses

Primary practice location

1249 15TH Street
Suite 3000
Huntington, WV 25701

Mailing address

1249 15TH Street
Suite 3000
Huntington, WV 25701
Phone (304) 691-1000

Other identifiers 3

IdentifierTypeStateIssuer
64700479MedicaidKY
0077319000MedicaidWV
0980792MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address imran.khawaja@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051230000277 WV Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 8426070632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians and Surgeons, IncGroup PAC ID 2961315734, 379 clinicians

Practice addresses (Care Compare)

1249 15TH St
Suite 2000
Huntington, WV 25701-3662
Phone (304) 691-1000

Hospital & facility affiliations

  • Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055
  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Holzer Medical Center Hospital, Gallipolis, OH, CCN 360054
  • Logan Regional Medical Center Hospital, Logan, WV, CCN 510048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17786WVMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Point Pleasant Physician Billing Services CurrentSince Feb 3, 2019 Accepting new patients
University Physicians & Surgeons, Inc CurrentSince Jul 1, 1994 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Jul 1, 1994 Accepting new patients
St. Mary'S Medical Center Inc Past Accepting new patients
Cabell Huntington Hospital Inc Past Accepting new patients

Locations

1600 Medical Center Dr
Ste G500
Huntington, WV 25701
Phone (304) 691-1262

1249 15th St
#4093
Huntington, WV 25701

1249 15th St
Ste 3000
Huntington, WV 25701
Phone (304) 691-1095

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1249 15th St
Ste 2000
Huntington, WV 25701
Phone (304) 691-1086

1305 Elm St E
Huntington, WV 25701
Phone (304) 399-2881

1600 Medical Center Dr
#B51
Huntington, WV 25701
Phone (304) 691-8850

2520 Valley Dr
Ste G15
Point Pleasant, WV 25550

2520 Valley Dr
Ste 113
Pt Pleasant, WV 25550
Phone (304) 675-1020

2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020

2520 Valley Dr
Ste 13
Pt Pleasant, WV 25550
Phone (304) 522-8266

Interoperability endpoints

  • Direct secure messaging: imran.khawaja@marshall.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/704af85e-ff7f-4141-a47d-5f79ab640202/

Organizations & group practices 5

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1790740967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 15TH STREET",
            "address_2": "SUITE 3000",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "304-691-1000",
            "fax_number": "304-691-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 15TH STREET",
            "address_2": "SUITE 3000",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "304-691-1000",
            "fax_number": "304-691-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAWAJA",
        "first_name": "IMRAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WV",
            "license": "17786",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WV",
            "license": "17786",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "17786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64700479",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077319000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0980792",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imran.khawaja@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1249 15th Street",
            "address_2": "Suite 3000",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.