Active NPI
Imran A Khan, MD
- Pulmonary Disease Physician
- New Port Richey, FL
National Provider Identifier
1811054539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME106316
- Practice address
- 4746 Rowan Rd
New Port Richey, FL 34653-5601 - Phone
- (727) 375-7788
- Fax
- (727) 375-7772
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME106316 | FL | Primary |
Addresses
Primary practice location
4746 Rowan Rd
New Port Richey, FL 34653-5601
Mailing address
4746 Rowan Rd
New Port Richey, FL 34653-5601
Phone (727) 375-7788
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0091114 | Other | MI | BLUE CROSS OF MI |
| 01006479 | Other | MI | HEALTH PLUS OF MI |
| 104957790 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4746 Rowan Rd
New Port Richey, FL 34653-5601
Phone (727) 375-7788
Hospital & facility affiliations
- HCA Florida Trinity Hospital
- Morton Plant North Bay Hospital
- Adventhealth North Pinellas
- Morton Plant Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Current | Accepting new patients | |
| Gulfcoast Pulmonary Associates, P.a. | Pulmonary Disease | Current | Accepting new patients |
| Raul Sierra MD PA | Past | Accepting new patients |
Locations
4746 Rowan Rd
New Prt Rchy, FL 34653
Phone (727) 375-7788
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EGEIAA
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- New Port Richey, FL
- NPI 1154481752
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- General Practice Physician
- Tampa, FL
- NPI 1255642989
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
- General Acute Care Hospital
- New Port Richey, FL
- NPI 1437135811
-
- General Acute Care Hospital
- Trinity, FL
- NPI 1891741849
-
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363564800000",
"number": "1811054539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4746 ROWAN RD",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346535601",
"telephone_number": "727-375-7788",
"fax_number": "727-375-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4746 ROWAN RD",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346535601",
"telephone_number": "727-375-7788",
"fax_number": "727-375-7772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "IMRAN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2013-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME106316",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MI",
"identifier": "0091114",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS OF MI",
"identifier": "01006479",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104957790",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.