NPIMap

Individual provider Active NPI

Rehan Ahmad Khan, M.D.

  • Gastroenterology Physician
  • Greenville, SC
National Provider Identifier
1811197817
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
96384 Issued in SC
Practice address
905 Verdae Blvd Ste 204
Greenville, SC 29607-4098
Phone
(864) 255-5609
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4301099885 MI
Gastroenterology Physician 207RG0100X 01072912A IN
Gastroenterology Physician 207RG0100X MD432318 PA
Gastroenterology Physician 207RG0100X P8043 TX
Gastroenterology Physician 207RG0100X 41016 KY
Gastroenterology Physician 207RG0100X 96384 SC Primary

Addresses

Primary practice location

905 Verdae Blvd Ste 204
Greenville, SC 29607-4098

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

1169 Eastern Pkwy
Louisville, KY 40217-1417
Phone (502) 442-7303

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rkhan236890@direct.nortonhealthcare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20071029000292 KY Practitioner - GastroenterologyPractitioner - Internal Medicine 1456448109 Reassigns benefits to 2 organizations
I20260305000809 SC Practitioner - Gastroenterology 1456448109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

2406 Ring Rd
Elizabethtown, KY 42701-7940
Phone (270) 234-8866

905 Verdae Blvd
Suite 204
Greenville, SC 29607-4029
Phone (864) 255-5609

Hospital & facility affiliations

  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • Prisma Health Greer Memorial Hospital Hospital, Spartanburg, SC, CCN 420033
  • Prisma Health Patewood Hospital Hospital, Greenville, SC, CCN 420102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy57
Upper gastrointestinal (GI) endoscopy for acid reflux90

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01072912AINMDGastroenterology Physician
41016KYMDGastroenterology Physician
96384SCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group Internal Medicine CurrentSince Apr 20, 2026 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Jul 7, 2022 Accepting new patients
Prisma Health University Medical Group CurrentSince Apr 20, 2026 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2023 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jan 5, 2015 Accepting new patients
DLP Marquette Physician Practices Inc Current Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jan 5, 2015 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jul 7, 2022 Accepting new patients
Baptist Health Medical Group Inc Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Community Medical Associates, Inc. Internal Medicine Past Accepting new patients

Locations

2406 Ring Rd
Elizabethtown, KY 42701
Phone (270) 234-8866

3 Audubon Plaza Dr
Ste LL2
Louisville, KY 40217
Phone (502) 636-8005

3 Audubon Plaza Dr
Ste 530
Louisville, KY 40217
Phone (502) 629-3820

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

905 Verdae Blvd
Ste 204
Greenville, SC 29607
Phone (864) 255-5609

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

Interoperability endpoints

  • Direct secure messaging: rkhan133422@wellspan.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 10

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1811197817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 VERDAE BLVD STE 204",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074098",
            "telephone_number": "864-255-5609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1169 Eastern Pkwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171417",
            "country_code": "US",
            "telephone_number": "502-442-7303",
            "fax_number": "717-273-6937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "REHAN",
        "middle_name": "AHMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301099885",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01072912A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD432318",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "P8043",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "41016",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "96384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkhan236890@direct.nortonhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3 Audubon Plaza Dr Ste 530",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.