Individual provider Active NPI

Agha Khan, M.D.

  • Interventional Cardiology Physician
  • Oklahoma City, OK
National Provider Identifier
1881655660
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
24817 Issued in OK
Practice address
5224 E I 240 Service Rd Ste 303
Oklahoma City, OK 73135-2607
Phone
(405) 608-3800
Fax
(405) 628-6271
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 204713 NY
Cardiovascular Disease Physician 207RC0000X ME67126 FL
Interventional Cardiology Physician 207RI0011X 204713 NY
Interventional Cardiology Physician 207RI0011X ME67126 FL
Nuclear Cardiology Physician 207UN0901X 204713 NY
Nuclear Cardiology Physician 207UN0901X ME67126 FL
Interventional Cardiology Physician 207RI0011X 24817 OK Primary

Addresses

Primary practice location

5224 E I 240 Service Rd Ste 303
Oklahoma City, OK 73135-2607

Mailing address

7800 NW 85TH Ter
Oklahoma City, OK 73132-3385

Other identifiers 3

IdentifierTypeStateIssuer
200100160AMedicaidOK
266431300MedicaidFL
P00379499OtherOKRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akhan@direct.okheart.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20061109000216 OK Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 4183671506 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine, Nuclear Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohh Physicians LLCGroup PAC ID 1759392079, 132 clinicians

Practice addresses (Care Compare)

1146 N Hills Ctr
Ada, OK 74820-1881
Phone (580) 332-1080

1701 W Ave a
Elk City, OK 73644-3901
Phone (580) 225-6220

3306 N Kickapoo
Suite 150 and 154
Shawnee, OK 74804-1718
Phone (405) 628-6535

4050 W Memorial Rd
Oklahoma City, OK 73120-8382

4140 W Memorial Rd
Oklahoma City, OK 73120-8300
Phone (405) 608-3800

4200 W Memorial Rd
Oklahoma City, OK 73120-8305

520 S Mustang Rd
Suite S
Yukon, OK 73099-6737
Phone (405) 577-2514

5224 E I 240 Service Rd
Oklahoma City, OK 73135-2607

8121 National Ave
Midwest, OK 73110-7570

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting41
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204713NYMDCardiovascular Disease Physician
24817OKMDInterventional Cardiology Physician
ME67126FLMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Ardmore, Inc. CurrentSince Nov 19, 2024 Accepting new patients
Mercy Hospital Oklahoma City, Inc CurrentSince Aug 5, 2013 Accepting new patients
Ohh Physicians, LLC Cardiovascular Disease CurrentSince Jul 1, 2010 Accepting new patients
Mercy Hospital Oklahoma City, Inc Current Accepting new patients
Bethany Medical Center Cardiovascular Disease Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients
Chemung Medical Services PC Cardiovascular Disease Past Accepting new patients
Summit Medical Center Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients
Bethany Medical Center Past Accepting new patients
Oklahoma Heart Hospital, LLC Cardiovascular Disease Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1146 N Hills Ctr
Ada, OK 74820
Phone (580) 332-1080

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4050 W Memorial Rd
#3
Oklahoma City, OK 73120

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

5200 E I 240 Service Rd
Oklahoma City, OK 73135
Phone (405) 608-6000

5224 E I 240 Service Rd
Ste 303
Oklahoma City, OK 73135
Phone (405) 628-6378

7800 NW 85th Ter
Oklahoma City, OK 73132
Phone (405) 972-7239

5224 E I 240 Service Rd
Fl 2
Oklahoma City, OK 73135
Phone (405) 628-6800

7800 NW 85th Ter
#200
Oklahoma City, OK 73132

Interoperability endpoints

  • Direct secure messaging: akhan22094@direct.okheart.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
  • FHIR API: https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4
  • Direct secure messaging: akhan@direct.okheart.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1881655660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 85TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 E I 240 SERVICE RD STE 303",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731352607",
            "telephone_number": "405-608-3800",
            "fax_number": "405-628-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AGHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "204713",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME67126",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "204713",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME67126",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "204713",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "FL",
            "license": "ME67126",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "24817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200100160A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266431300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00379499",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akhan@direct.okheart.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5224 E I 240 Service Rd Ste 303",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731352607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.