Individual provider Active NPI

Abdul Mateen Khan, M.D.

  • Gastroenterology Physician
  • New Orleans, LA
National Provider Identifier
1881697134
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
11604R Issued in LA
Practice address
2820 Napoleon Ave
Suite 720
New Orleans, LA 70115
Phone
(504) 896-8670
Fax
(504) 896-8699
NPI assigned
May 31, 2005
Last updated
Nov 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 11604R LA Primary

Addresses

Primary practice location

2820 Napoleon Ave
Suite 720
New Orleans, LA 70115

Mailing address

1111 Medical Center Blvd
Suite S-450
Marrero, LA 70072-3151
Phone (504) 349-6423

Other identifiers 1

IdentifierTypeStateIssuer
1545694MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040108000074 LA Practitioner - Gastroenterology 5395644314 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LCMC Health Clinical Services LLCGroup PAC ID 3274883681, 12 clinicians

Practice addresses (Care Compare)

2820 Napoleon Ave
Suite 720
New Orleans, LA 70115-8291
Phone (504) 896-8670

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 503-6565

5620 Read Blvd
New Orleans, LA 70127-3106
Phone (504) 592-6760

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy31
Upper gastrointestinal (GI) endoscopy for acid reflux50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11604RLAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Feb 7, 2019 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 23, 2021 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Jan 1, 2021 Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Jan 1, 2021 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Feb 1, 2021 Accepting new patients
New Orleans Physician Services Inc CurrentSince Jan 3, 2024 Accepting new patients
LCMC Health Clinical Services, LLC CurrentSince Jan 3, 2023 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Feb 1, 2021 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 23, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 7, 2019 Accepting new patients
East Jefferson Physicians Group LLC CurrentSince Jan 1, 2025 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Past Accepting new patients
Metairie Physician Services Inc. Past Accepting new patients

Locations

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

1111 Medical Center Blvd
Ste 570
Marrero, LA 70072

1111 Medical Center Blvd
Ste S450
Marrero, LA 70072
Phone (504) 349-6401

1111 Medical Center Blvd
Ste S570
Marrero, LA 70072
Phone (504) 244-8900

1151 Barataria Blvd
Ste 4400
Marrero, LA 70072
Phone (504) 349-6401

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4224 Houma Blvd
Ste 400
Metairie, LA 70006
Phone (504) 456-8020

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
New Orleans, LA 70112
Phone (504) 585-6485

1514 Jefferson Hwy
New Orleans, LA 70121

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2000 Canal St
Fl 5
New Orleans, LA 70112
Phone (504) 702-4333

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

2820 Napoleon Ave
Ste 700
New Orleans, LA 70115
Phone (504) 412-1310

2820 Napoleon Ave
Ste 720
New Orleans, LA 70115
Phone (504) 456-8020

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

1051 Gause Blvd
Ste 260
Slidell, LA 70458
Phone (985) 641-5523

764 N Acadia Rd
Ste A
Thibodaux, LA 70301
Phone (985) 446-1958

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1881697134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE S-450",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6423",
            "fax_number": "504-349-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NAPOLEON AVE",
            "address_2": "SUITE 720",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70115",
            "telephone_number": "504-896-8670",
            "fax_number": "504-896-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABDUL",
        "middle_name": "MATEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "11604R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1545694",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.