Individual provider Active NPI

Khalid Salim Khan

  • Psychiatry Physician
  • Tempe, AZ
National Provider Identifier
1821452418
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
58003 Issued in AZ
Practice address
6350 S Maple Ave
Tempe, AZ 85283-2857
Phone
(480) 345-5400
NPI assigned
Apr 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Psychiatry Physician 2084P0800X 58003 AZ Primary

Addresses

Primary practice location

6350 S Maple Ave
Tempe, AZ 85283-2857

Mailing address

67 S Higley Rd Ste 103-183
Gilbert, AZ 85296-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171010001451 CA Practitioner - Psychiatry 1153696653 Reassigns benefits to 1 organization
I20190820001834 AZ Practitioner - Psychiatry 1153696653 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arizona College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Behavioral Healthcare - Tempe, LLCGroup PAC ID 3072643337, 7 clinicians

Practice addresses (Care Compare)

6350 S Maple Ave
Tempe, AZ 85283-2857
Phone (480) 345-5400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58003AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Behavioral Healthcare - Tempe, LLC Psychiatry CurrentSince Jun 24, 2019 Accepting new patients
East Valley Psychiatry LLC Psychiatry CurrentSince Jul 1, 2020 Accepting new patients
Transitions Center PLLC Psychiatry CurrentSince Oct 14, 2020 Accepting new patients
County of Los Angeles CurrentSince Sep 1, 2017 Accepting new patients
Rose Psychiatry Psychiatry CurrentSince Oct 1, 2021 Accepting new patients
County of Los Angeles CurrentSince Sep 1, 2017 Accepting new patients
Uhs of Phoenix, LLC CurrentSince Feb 25, 2020 Accepting new patients
Psychiatric Associates, PLLC PastSince Oct 14, 2020 Accepting new patients
Copper Springs Hospital, LLC Past Accepting new patients

Locations

10550 W McDowell Rd
Avondale, AZ 85392
Phone (480) 565-3035

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

3755 S Rome St
Gilbert, AZ 85297
Phone (480) 565-3035

67 S Higley Rd
Ste 103183
Gilbert, AZ 85296

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

2036 N Gilbert Rd
#2134
Mesa, AZ 85203

2545 W Quail Ave
Phoenix, AZ 85027
Phone (602) 455-5700

6350 S Maple Ave
Tempe, AZ 85283
Phone (480) 345-5400

1030 E Guadalupe Rd
Tempe, AZ 85283
Phone (480) 269-2670

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

14445 Olive View Dr
#2C155
Sylmar, CA 91342
Phone (818) 364-3001

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1821452418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 S HIGLEY RD STE 103-183",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 S MAPLE AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832857",
            "telephone_number": "480-345-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIM KHAN",
        "first_name": "KHALID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "58003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.