Active NPI
Mumtaj A. Khan, M.D.
- Emergency Medicine Physician
- Cincinnati, OH
National Provider Identifier
1891765350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35-04-1818 K
- Practice address
- 11879 Quarterhorse CT
Cincinnati, OH 45249-1280 - Phone
- (513) 257-3882
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35-04-1818 K | OH | Primary |
Addresses
Primary practice location
11879 Quarterhorse CT
Cincinnati, OH 45249-1280
Mailing address
11879 Quarterhorse CT
Cincinnati, OH 45249-1280
Phone (513) 257-3882
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0404600 | Medicaid | OH | |
| 000000264612 | Other | OH | BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Emergency Services Associates, PLLC | Emergency Medicine | Past | Accepting new patients |
| Nes Ohio Inc | Emergency Medicine | Past | Accepting new patients |
| Nes Ohio, Inc. | Emergency Medicine | Past | Accepting new patients |
| Appalachian Regional Healthcare, Inc | Emergency Medicine | Past | Accepting new patients |
| Appalachian Regional Healthcare, Inc. | Emergency Medicine | Past | Accepting new patients |
| Epmg of Ohio Inc P a | Emergency Medicine | Past | Accepting new patients |
| Highland Emergency Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
| Georgetown Emergency Group PC Inc. | Emergency Medicine | Past | Accepting new patients |
| Bluegrass Health Psychology, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ei-bhp
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Portsmouth, OH
- NPI 1841232196
-
- Emergency Medicine Physician
- Georgetown, OH
- NPI 1720330541
-
- Emergency Medicine Physician
- Hillsboro, OH
- NPI 1376542100
-
- Emergency Medicine Physician
- Barnesville, OH
- NPI 1043699200
-
- Emergency Medicine Physician
- Kenton, OH
- NPI 1841272028
-
- Anatomic Pathology & Clinical Pathology Physician
- Hazard, KY
- NPI 1780728881
Emergency Medicine
-
- Clinical Pathology/Laboratory Medicine Physician
- Whitesburg, KY
- NPI 1417045998
Emergency Medicine
-
- Clinical Psychologist
- Lexington, KY
- NPI 1619061470
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1891737185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891765350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11879 QUARTERHORSE CT",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452491280",
"telephone_number": "513-257-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11879 QUARTERHORSE CT",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452491280",
"telephone_number": "513-257-3882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "MUMTAJ",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35-04-1818 K",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0404600",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "000000264612",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.