NPIMap

Individual provider Active NPI

Muhammad A Khan, MD

  • Internal Medicine Physician
  • Saginaw, MI
National Provider Identifier
1881896975
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301083764 Issued in MI
Practice address
912 S Washington Ave Ste B
Saginaw, MI 48601-2578
Phone
(989) 791-7900
NPI assigned
Jun 1, 2007
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301083764 MI Primary

Addresses

Primary practice location

912 S Washington Ave Ste B
Saginaw, MI 48601-2578

Mailing address

801 Joe Mann Blvd Ste P-6
Midland, MI 48642-8900
Phone (989) 791-2455

Other identifiers 1

IdentifierTypeStateIssuer
5188939MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkhan1456@direct.covenanthealthcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070831000287 MI Practitioner - Internal Medicine 1557454832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians
Tricity InternistsGroup PAC ID 6002954443, 7 clinicians

Practice addresses (Care Compare)

23600 Northline Rd
Taylor, MI 48180-4620
Phone (888) 408-7008

255 Mayer Rd
Frankenmuth, MI 48734-1358
Phone (989) 349-0016

526 W Genesee St
Suite 3
Frankenmuth, MI 48734-1357
Phone (989) 480-3470

912 S Washington Ave
Suite B
Saginaw, MI 48601-2578
Phone (989) 791-4100

912 S Washington Ave B
Saginaw, MI 48601-2578

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tricity Internists Internal Medicine CurrentSince Sep 21, 2009 Accepting new patients
Saginaw Opco, LLC Past Accepting new patients
Peplinski Investment Inc Past Accepting new patients
Frankenmuth Opco, LLC Past Accepting new patients
Saginaw N Opco LLC Past Accepting new patients
Covenant Medical Center, Inc. Past Accepting new patients
Covenant Medical Center, Inc Internal Medicine Past Accepting new patients
Saginaw Senior Care and Rehab Center, LLC Past Accepting new patients
St. Francis Home of Saginaw Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Wood Care VIII Inc Past Accepting new patients
Optalis Saginaw Opco LLC PastSince Dec 4, 2024 Accepting new patients

Locations

204 W Buttles St
Ste A
Midland, MI 48640

801 Joe Mann Blvd
Ste P-6
Midland, MI 48642

2060 N Center Rd
Saginaw, MI 48603
Phone (989) 791-4100

3785 Bay Rd
Saginaw, MI 48603

912 S Washington Ave
Ste B
Saginaw, MI 48601
Phone (989) 791-4100

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avista Nursing and RehabSaginaw, MI, CCN 235139 Skilled nursing facility Adp of the SNF Feb 1, 2017
Adira Nursing and RehabSaginaw, MI, CCN 235250 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2023
May 1, 2023
Optalis Health and Rehabilitation at St. FrancisSaginaw, MI, CCN 235249 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 12, 2024
Dec 4, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 33

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1881896975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 JOE MANN BLVD STE P-6",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428900",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S WASHINGTON AVE STE B",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012578",
            "telephone_number": "989-791-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUHAMMAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301083764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5188939",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkhan1456@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "912 s washington avenue, suite b",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.