Individual provider Active NPI

Safdar Sultan Khan, MD

  • Neonatal-Perinatal Medicine Physician
  • Columbus, OH
National Provider Identifier
1861723033
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
35144724 Issued in OH
Practice address
111 S Grant Ave
Columbus, OH 43215-4701
Phone
(614) 566-9000
Fax
(614) 566-8046
NPI assigned
Jan 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 35144724 OH Primary

Addresses

Primary practice location

111 S Grant Ave
Columbus, OH 43215-4701

Mailing address

285 E State St Ste 520
Columbus, OH 43215-4359
Phone (614) 566-9683

Other practice location 1

5100 W Broad St
Columbus, OH 43228-1607
Phone (614) 544-1000

Other practice location 2

5300 N Meadows Dr
Grove City, OH 43123-2546
Phone (614) 663-5000

Other practice location 3

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 4

600 N Pickaway St
Circleville, OH 43113-1447
Phone (740) 474-2126

Other practice location 5

1000 McKinley Park Dr
Marion, OH 43302-6399
Phone (740) 383-8400

Other practice location 6

6001 E Broad St
Columbus, OH 43213-1502
Phone (614) 234-6000

Other practice location 7

730 W Market St
Lima, OH 45801-4602
Phone (419) 227-3361

Other practice location 8

1010 Refugee Rd
Pickerington, OH 43147-9653
Phone (614) 788-4000

Other identifiers 1

IdentifierTypeStateIssuer
0498627MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220916000933 OH Practitioner - Pediatric Medicine 2264742840 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Academic Association, Inc. Pediatrics CurrentSince Nov 1, 2022 Accepting new patients
The Nemours Foundation Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Central Ohio Newborn Medicine, Inc. Neonatal-Perinatal Medicine PastSince Aug 14, 2022 Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Ohiohealth Berger Hospital LLC Past Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients
Mount Carmel Health System Past Accepting new patients

Locations

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

285 E State St
Ste 520
Columbus, OH 43215
Phone (614) 566-9683

Dept L289
Columbus, OH 43260

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000

1010 Refugee Rd
Pickerington, OH 43147
Phone (614) 587-7601

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1861723033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 E STATE ST STE 520",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154359",
            "telephone_number": "614-566-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154701",
            "telephone_number": "614-566-9000",
            "fax_number": "614-566-8046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281607",
            "country_code": "US",
            "telephone_number": "614-544-1000",
            "fax_number": "614-566-8046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5300 N Meadows Dr",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431232546",
            "country_code": "US",
            "telephone_number": "614-663-5000",
            "fax_number": "614-566-8046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-4541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Pickaway St",
            "address_purpose": "LOCATION",
            "city": "Circleville",
            "state": "OH",
            "postal_code": "431131447",
            "country_code": "US",
            "telephone_number": "740-474-2126",
            "fax_number": "614-566-8046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 McKinley Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433026399",
            "country_code": "US",
            "telephone_number": "740-383-8400",
            "fax_number": "614-566-8046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6001 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131502",
            "country_code": "US",
            "telephone_number": "614-234-6000",
            "fax_number": "614-566-8046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 W Market St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458014602",
            "country_code": "US",
            "telephone_number": "419-227-3361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Refugee Rd",
            "address_purpose": "LOCATION",
            "city": "Pickerington",
            "state": "OH",
            "postal_code": "431479653",
            "country_code": "US",
            "telephone_number": "614-788-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAFDAR",
        "middle_name": "SULTAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-27",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "OH",
            "license": "35144724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0498627",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.