NPIMap

Individual provider Active NPI

Zubair A Khan, MD

  • Interventional Cardiology Physician
  • Osage Beach, MO
National Provider Identifier
1861491854
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
101959 Issued in MO
Practice address
54 Hospital Dr
Suite 225
Osage Beach, MO 65065-3050
Phone
(573) 302-4406
Fax
(573) 302-4408
NPI assigned
Jul 20, 2005
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 101959 MO
Interventional Cardiology Physician 207RI0011X 101959 MO Primary

Addresses

Primary practice location

54 Hospital Dr
Suite 225
Osage Beach, MO 65065-3050

Mailing address

PO Box 1500
Osage Beach, MO 65065-1500

Other practice location 1

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 256-9111

Other identifiers 2

IdentifierTypeStateIssuer
203766217MedicaidMO
P00074624OtherMORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20031122000106 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 8729982582 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Lake Regional Health SystemGroup PAC ID 9133026776, 132 clinicians

Practice addresses (Care Compare)

1191 Hwy KK
Suite 300
Osage Beach, MO 65065-3510
Phone (573) 302-4960

2333 Hwy 17
Iberia, MO 65486-9331
Phone (573) 793-6900

302 E 4TH St
Eldon, MO 65026-1808
Phone (573) 392-9400

54 Hospital Dr
Osage Beach, MO 65065-3050

755 Cowan Dr
Lebanon, MO 65536-4629
Phone (417) 532-2805

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.58 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
65.27

Merit-based Incentive Payment System (MIPS)

Final score
94.19 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
75.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting49
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Regional Health System CurrentSince Jan 19, 2025 Accepting new patients
Ozarks Medical Center CurrentSince Mar 17, 2020 Accepting new patients
Lake Regional Imaging Partners, LLC Current Accepting new patients
Lake Regional Health System CurrentSince Jan 19, 2025 Accepting new patients
Ozarks Medical Center CurrentSince Mar 17, 2020 Accepting new patients
Lake Regional Health System Past Accepting new patients

Locations

755 Cowan Dr
Lebanon, MO 65536
Phone (417) 532-2805

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

54 Hospital Dr
Ste 213
Osage Beach, MO 65065
Phone (573) 302-2864

54 Hospital Dr
Ste 225
Osage Beach, MO 65065
Phone (573) 302-2762

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

Interoperability endpoints

  • Direct secure messaging: zubairkhan@mhccaremail.com

Organizations & group practices 7

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 8

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1861491854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1500",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650651500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "address_2": "SUITE 225",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653050",
            "telephone_number": "573-302-4406",
            "fax_number": "573-302-4408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "65775",
            "country_code": "US",
            "telephone_number": "417-256-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ZUBAIR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "101959",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "101959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203766217",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00074624",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage Beach, MO

Sources for this page

Verify at the official NPI Registry.