Active NPI
Irfan Khan, MD
- Pediatric Critical Care Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- V4691
- Practice address
- 1100 Central Ave SE
Albuquerque, NM 87106-4930 - Phone
- (505) 724-7044
- Fax
- (505) 841-1462
- NPI assigned
- Feb 26, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD2012-0245 | NM | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | V4691 | TX | Primary |
| Pediatrics Physician | 208000000X | MD2012-0245 | NM | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD20120245 | NM |
Addresses
Primary practice location
1100 Central Ave SE
Albuquerque, NM 87106-4930
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-6770
Other practice location 1
333 N Santa Rosa
San Antonio, TX 78207-3108
Phone (210) 704-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2012-0245 | NM | MD | Pediatrics Physician |
| MD20120245 | NM | MD | Pediatric Critical Care Medicine Physician |
| V4691 | TX | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pecos Valley of New Mexico, LLC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Baylor College of Medicine | Pediatrics | Current | Accepting new patients |
| SCL Health Medical Group - Billings LLC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Pediatrics | Current | Accepting new patients |
| El Paso Children'S Hospital Corporation | Past | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850
16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
2420 W Pierce St
Ste 200
Carlsbad, NM 88220
Phone (505) 885-0600
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
Interoperability endpoints
- ikhan66943@direct.phs.org
Organizations & group practices 6
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.
-
- General Practice Physician
- Carlsbad, NM
- NPI 1972569820
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Pediatrics
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Clinic/Center
- Billings, MT
- NPI 1508289703
-
- Children's Hospital
- El Paso, TX
- NPI 1558659714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1902046253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26666",
"address_2": "PHS PROVIDER ENROLLMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666",
"telephone_number": "505-923-6770",
"fax_number": "505-923-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CENTRAL AVE SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064930",
"telephone_number": "505-724-7044",
"fax_number": "505-841-1462"
}
],
"practiceLocations": [
{
"address_1": "333 N Santa Rosa",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782073108",
"country_code": "US",
"telephone_number": "210-704-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "IRFAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-26",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NM",
"license": "MD2012-0245",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "V4691",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "MD2012-0245",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NM",
"license": "MD20120245",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.