Faraz Khan, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Eden Prairie, MN
NPI 1790776771 · NPPES record last updated Feb 22, 2022
Key facts
- NPI
- 1790776771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- L3715 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 36
Hospital & facility affiliations 14
Medicare Care Compare profile
- 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
- Medical Imaging Associates of Idaho Falls Inc
Sonoran Radiology LTD
Singleton Associates PA
Imaging Associates of New Mexico LLC
Eagle Partners, PLLC
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
- Memorial Hermann Memorial City Hospital
- Memorial Hermann Sugar Land Hospital
- Wilbarger General Hospital
- Limestone Medical Center
- Electra Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in TX, IL, AZ, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3715 | TX | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Alaska Regional Health Consortium | Current |
Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current |
Accepting new patients | |
| Sonoran Radiology LTD | Diagnostic Radiology | Current |
Accepting new patients |
| Fred Smeltzer MD & Associates Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Houlton Regional Hospital | Current | Accepting new patients | |
| Conroe Tomball Radiologists PA | Diagnostic Radiology | Current | Accepting new patients |
| Ton San Simon Health Center | Current |
Accepting new patients | |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current |
Accepting new patients |
| Eagle Partners, PLLC | Diagnostic Radiology | Current |
Accepting new patients |
| Synergy Radiology Associates PLLC | Current |
Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Current |
Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Diagnostic Radiology | Current |
Accepting new patients |
| Geisinger-HM Joint Venture LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Crouse Radiology Associates LLP | Diagnostic Radiology | Current |
Accepting new patients |
| Singleton Associates PA | Diagnostic Radiology | Current |
Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current |
Accepting new patients |
| Ton Sells Hospital | Current |
Accepting new patients | |
| Conroe Tomball Radiologists PA | Diagnostic Radiology | Current | Accepting new patients |
| Southeast Alaska Regional Health Consortium | Current |
Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients | |
| Imaging Associates of New Mexico LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Ton San Xavier Health Center | Current |
Accepting new patients | |
| The Fort Defiance Indian Hospital Board, Incorporation | Current |
Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Ton Sells Hospital | Past | Accepting new patients | |
| Lufkin Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| South East Alaska Regional Health Consortium | Past | Accepting new patients | |
| Community Radiology Associates P a | Diagnostic Radiology | Past | Accepting new patients |
| Sadler Clinic Association | Past | Accepting new patients | |
| Ton San Xavier Health Center | Past | Accepting new patients | |
| Citizens Medical Center County of Victoria | 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) 966-8423
1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729
6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230
5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002
5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420
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
- fkhan1315127@direct.sw.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | L3715 | TX | Yes |
| 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
Other providers in Eden Prairie, MN
- Khair Recovery Center Inc.
- Fatuma Hassan Khalif
- Khalid Khalif
- Samiro Aden Khalif
- Mariam Khalil
- Leah D Khan
- Mona Khan
- Tasneem N. Khimji
- Tigist T Kiflu
- David Hyun Min Kim
All providers in Eden Prairie, MN · Diagnostic Radiology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.