NPIMap

Individual provider Active NPI

Azhar Ullah Khan, MD

  • Pulmonary Disease Physician
  • Oklahoma City, OK
National Provider Identifier
1821054453
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
19711 Issued in OK
Practice address
3366 NW Expressway Ste 650
Oklahoma City, OK 73112-4490
Phone
(405) 947-3347
Fax
(405) 947-4232
NPI assigned
Apr 22, 2006
Last updated
May 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 19711 OK Primary

Addresses

Primary practice location

3366 NW Expressway Ste 650
Oklahoma City, OK 73112-4490

Mailing address

3366 NW Expressway
Suite 660
Oklahoma City, OK 73112-4462
Phone (405) 947-3345

Other identifiers 2

IdentifierTypeStateIssuer
100226590AMedicaidOK
290012708OtherOKRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051219000635 OK Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9032131032 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3916 Red Deer Xing
Edmond, OK 73034-6972
Phone (405) 947-3347

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Hospital Medicine Associates PC CurrentSince Jan 8, 2022 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Jun 9, 2014 Accepting new patients
Azhar U Khan MD PC CurrentSince Oct 1, 2006 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients
Pulmonology Inc Past Accepting new patients
Pulmonary Physicans of Oklahoma City Pulmonary Disease Past Accepting new patients

Locations

3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3366 NW Expressway St
Ste 650
Oklahoma City, OK 73112
Phone (405) 713-4430

3366 NW Expressway St
Ste 660
Oklahoma City, OK 73112
Phone (405) 947-3345

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Interoperability endpoints

  • Direct secure messaging: akhan068@yourcarecommunity.org
  • Direct secure messaging: akhan22831@direct.integrisok.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/4e25fccd-d74e-480d-8ad9-77a7a01a54de/

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1821054453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY",
            "address_2": "SUITE 660",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124462",
            "telephone_number": "405-947-3345",
            "fax_number": "405-946-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY STE 650",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124490",
            "telephone_number": "405-947-3347",
            "fax_number": "405-947-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AZHAR",
        "middle_name": "ULLAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "19711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100226590A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290012708",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.