Active NPI
Asif Khan, MD
- Internal Medicine Physician
- Lakewood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00044522
- Practice address
- PO Box 39680
Lakewood, WA 98496-3680 - Phone
- (253) 200-0300
- Fax
- (253) 302-8493
- NPI assigned
- May 25, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00044522 | WA | Primary |
Addresses
Primary practice location
PO Box 39680
Lakewood, WA 98496-3680
Mailing address
PO Box 39680
Lakewood, WA 98496-3680
Phone (253) 200-0300
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98390A019 | Other | WA | TRICARE PROVIDER NUMBER |
| 9865KA | Other | WA | REGENCE RIDER NUMBER |
| 7386691 | Other | WA | AETNA PROVIDER NUMBER |
| 0251533 | Other | WA | L&I PROVIDER # |
| 911203494BZ | Other | WA | KPS PROVIDER NUMBER |
| 0195278 | Other | WA | L & I PROVIDER NUMBER |
| 8421091 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00044522 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainier Internal Medicine LLC | Internal Medicine | Current | Accepting new patients |
| Rainier Internal Medicine LLC | Current | Accepting new patients | |
| Good Samaritan Community Healthcare | Internal Medicine | Past | Accepting new patients |
| John Daniel M.D, PS, Inc. | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
3800 3rd St SE
Puyallup, WA 98374
Phone (253) 200-0415
102 23rd Ave SE
Ste B
Puyallup, WA 98372
Phone (253) 200-0300
9720 South Tacoma Way
Tacoma, WA 98499
Phone (253) 304-7753
3727 South Tacoma Way
Tacoma, WA 98409
Phone (253) 300-7474
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northwest Integrated Health
- Primary Care Clinic/Center
- Lakewood, WA
- NPI 1972735157
Internal Medicine
-
dba Northwest Integrated Health
- Substance Use Disorder Rehabilitation Clinic/Center
- Puyallup, WA
- NPI 1356716351
-
dba Good Samaritan Clinics
- Pain Medicine (Anesthesiology) Physician
- Puyallup, WA
- NPI 1437102399
Internal Medicine
-
- Family Medicine Physician
- Puyallup, WA
- NPI 1235310657
-
dba Auburn MultiCare Clinic
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1821044520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39680",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984963680",
"telephone_number": "253-200-0300",
"fax_number": "253-302-8493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 39680",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984963680",
"telephone_number": "253-200-0300",
"fax_number": "253-302-8493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ASIF",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00044522",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PROVIDER NUMBER",
"identifier": "98390A019",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE RIDER NUMBER",
"identifier": "9865KA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "7386691",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER #",
"identifier": "0251533",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KPS PROVIDER NUMBER",
"identifier": "911203494BZ",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I PROVIDER NUMBER",
"identifier": "0195278",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8421091",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.