Muzammil Ali- Khan

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

4427 W 34TH St
Indianapolis, IN 46222-1268

Phone

(708) 942-9104

NPI assigned

Mar 25, 2022

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Enrolled in IN2 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.

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: malikhan653681@direct.parkviewexchange.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2022.

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1881344463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 COLD SPRING RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221960",
            "telephone_number": "708-942-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4427 W 34TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221268",
            "telephone_number": "708-942-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI- KHAN",
        "first_name": "MUZAMMIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesam Alhadid, MD
• Dana Alhaffar, MD
• Omar Alhaffar
• Sarah Anne Alhaffar, LCSW
• Ali M Dohan MD Inc
• Ahmad S Ali, NP
• Amna Ali
• Andrea Ali, ANP-C
• Asima Nuzhat Ali, PHARMD
• Hamza Ali

• All providers in Indianapolis, IN
• Student in an Organized Health Care Education/Training Program in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.