Individual provider Active NPI

Ahmed M Khan, MD

  • Neurological Surgery Physician
  • New Britain, CT
National Provider Identifier
1851378772
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
039336 Issued in CT
Practice address
1 Liberty SQ FL 1
New Britain, CT 06051-2637
Phone
(860) 225-1227
Fax
(860) 225-1253
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 039336 CT Primary

Addresses

Primary practice location

1 Liberty SQ FL 1
New Britain, CT 06051-2637

Mailing address

1 Liberty SQ
Ste 105
New Britain, CT 06051-2637
Phone (860) 225-1227

Other identifiers 1

IdentifierTypeStateIssuer
010039336CT04OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050520000204 CT Practitioner - Neurosurgery 2567403405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Connecticut School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Connecticut Neurosurgery and Spine LLCGroup PAC ID 4587746417, 2 clinicians
McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

1 Liberty SQ
Suite 105
New Britain, CT 06051-2637
Phone (860) 225-1227

75 Great Pond Rd
Simsbury, CT 06070-1980

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion81
Laminectomy or laminotomy (partial removal of spine bones)23
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039336CTMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ahmed.khan@xdr.hhchealthdirect.org
  • Direct secure messaging: ahmedkhan@cctns.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1851378772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LIBERTY SQ",
            "address_2": "STE 105",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512637",
            "telephone_number": "860-225-1227",
            "fax_number": "860-225-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LIBERTY SQ FL 1",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512637",
            "telephone_number": "860-225-1227",
            "fax_number": "860-225-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AHMED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CT",
            "license": "039336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "010039336CT04",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.