Mohammad Ali Khan, M.D.

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

N4517 Issued in TX

Practice address

106 Henry James CT
Youngsville, LA 70592-5176

Phone

(504) 220-3839

Fax

(504) 273-1100

NPI assigned

Jul 22, 2008

Last updated

Jul 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Diagnostic Radiology

Education

Northwestern University Feinberg Medical School, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acadiana Radiology GroupGroup PAC ID 1355403114, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Abbeville General Hospital Hospital, Abbeville, LA, CCN 190034

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkhan1453794@direct.ochsner.org

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.

• Acadiana Radiology Group

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1649422726
  Medicare reassignment Care Compare group NPD
• Imaging Affiliates of Baton Rouge, LTD.

  dba Baton Rouge Imaging

  • Clinic/Center
  • Baton Rouge, LA
  • NPI 1710093687
  Medicare reassignment NPD
• Northwest Imaging, LLC

  • Radiology Clinic/Center
  • Shreveport, LA
  • NPI 1568556256
  Medicare reassignment NPD
• Regional Radiology, LLC

  • Diagnostic Radiology Physician
  • Covington, LA
  • NPI 1336192863
  Medicare reassignment NPD
• Ark-la-Tex Diagnostics, Inc.

  dba Open Air MRI CEN-LA

  • Radiology Clinic/Center
  • Alexandria, LA
  • NPI 1528081924
  NPD
• Ascension Open MRI, LLC.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Gonzales, LA
  • NPI 1235259326
  NPD
• Bluebonnet Imaging Center, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Baton Rouge, LA
  • NPI 1942393699
  NPD
• Central Imaging Center, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Baton Rouge, LA
  • NPI 1912954520
  NPD
• Louisiana Pet/CT Imaging of Lake Charles. LLC

  • Radiology Clinic/Center
  • Lake Charles, LA
  • NPI 1437172822
  NPD
• M. R. Imaging Systems, Inc.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Alexandria, LA
  • NPI 1780639559
  NPD
• Northeast Imaging Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Monroe, LA
  • NPI 1558864249
  NPD
• Baylor College of Medicine Radiology Associates

  • Diagnostic Radiology Physician
  • Pasadena, TX
  • NPI 1548453665
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Abbeville General Hospital

  • Rural Acute Care Hospital
  • Abbeville, LA
  • NPI 1255300414
  Care Compare affiliation

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469232000000",
    "number": "1861657611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HENRY JAMES CT",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925176",
            "telephone_number": "504-220-3839",
            "fax_number": "504-273-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HENRY JAMES CT",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925176",
            "telephone_number": "504-220-3839",
            "fax_number": "504-273-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2016-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "N4517",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N4517",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "N4517",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neuroradiology Physician in Youngsville, LA
• Providers in Youngsville, LA by specialty
• Neuroradiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.