Individual provider Active NPI

Umar Khan, M.D.

  • Sports Medicine (Internal Medicine) Physician
  • Bowling Green, KY
National Provider Identifier
1881856532
Registry record updated May 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
44844 Issued in KY
Practice address
440 High St
Bowling Green, KY 42101-1707
Phone
(270) 901-1991
Fax
(270) 282-7109
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X 44844 KY Primary
Emergency Medicine Physician 207P00000X 44844 KY

Addresses

Primary practice location

440 High St
Bowling Green, KY 42101-1707

Mailing address

440 High St
Bowling Green, KY 42101-1707
Phone (270) 901-1991

Other identifiers 1

IdentifierTypeStateIssuer
7100198800MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111017000735 GA Practitioner - Internal Medicine 8123214509 Reassigns benefits to 1 organization
I20161107002403 TX Practitioner - Emergency MedicinePractitioner - Sports MedicinePractitioner - Internal Medicine 8123214509 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jun 23, 2025 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Au Medical Center, Inc CurrentSince Oct 1, 2011 Accepting new patients
Au Medical Center, Inc. CurrentSince Oct 1, 2011 Accepting new patients
Andrews Sports Medicine and Orthopaedic Center Past Accepting new patients
Greenview Primecare, LLC. Past Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

6402 Mallard Mdw
San Antonio, TX 78244
Phone (210) 757-5000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 7

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431129600000",
    "number": "1881856532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 HIGH ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011707",
            "telephone_number": "270-901-1991",
            "fax_number": "270-282-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 HIGH ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011707",
            "telephone_number": "270-901-1991",
            "fax_number": "270-282-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "UMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2015-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "KY",
            "license": "44844",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "44844",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100198800",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.