NPIMap

Individual provider Active NPI

Faraz Khan, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1790776771
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L3715 Issued in TX
Practice address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Oct 31, 2005
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L3715 TX Primary
Vascular & Interventional Radiology Physician 2085R0204X L3715 TX

Addresses

Primary practice location

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Mailing address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, AZ, NM4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090302000408 TX Practitioner - Diagnostic Radiology 3870658032 Reassigns benefits to 19 organizations
I20220901002462 IL Practitioner - Diagnostic Radiology 3870658032
I20260508001932 AZ Practitioner - Diagnostic Radiology 3870658032 Reassigns benefits to 1 organization
I20260520003805 NM Practitioner - Diagnostic Radiology 3870658032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians

Practice addresses (Care Compare)

Houston, TX 77056
Phone (208) 715-5220

Dripping Springs, TX 78620
Phone (208) 715-5220

11120 Memorial Dr
Houston, TX 77024-7507
Phone (832) 915-2534

6720 Bertner Ave
MC2 270
Houston, TX 77030-2604
Phone (281) 466-4401

8010 Ivan Reid Dr
Houston, TX 77040-2556
Phone (424) 290-8004

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Aug 16, 2022 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jun 1, 2023 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Nov 7, 2022 Accepting new patients
Crawford Hospital District Current Accepting new patients
San Carlos Apache Healthcare Corporation Current Accepting new patients
Conroe Tomball Radiologists PA Diagnostic Radiology Current Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Conroe Tomball Radiologists PA Diagnostic Radiology Current Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince May 1, 2022 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jun 1, 2023 Accepting new patients
Ton San Xavier Health Center CurrentSince May 1, 2022 Accepting new patients
Crouse Radiology Associates LLP Diagnostic Radiology CurrentSince Jun 20, 2023 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince May 1, 2022 Accepting new patients
Ton Sells Hospital CurrentSince May 1, 2022 Accepting new patients
Houlton Regional Hospital Current Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jan 18, 2026 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Nov 11, 2021 Accepting new patients
Ton San Simon Health Center CurrentSince May 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Apr 30, 2026 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Jul 18, 2022 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Synergy Radiology Associates PLLC CurrentSince Nov 1, 2011 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology CurrentSince Nov 7, 2022 Accepting new patients
Sadler Clinic Association Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Lufkin Radiology Associates Diagnostic Radiology Past Accepting new patients

Locations (25 of 33)

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

2000 Salmon Creek Ln
Juneau, AK 99801
Phone (907) 463-8700

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

6424 E Broadway Rd
Ste 101
Mesa, AZ 85206
Phone (602) 830-0619

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 416-7100

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

3922 Mercy Dr
McHenry, IL 60050
Phone (815) 344-4499

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

3110 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100

100 N Academy Ave
Danville, PA 17822

4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 395-2293

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

Interoperability endpoints

  • Direct secure messaging: fkhan1315127@direct.sw.org

Organizations & group practices 36

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 36

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1790776771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FARAZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L3715",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "L3715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.