Abdul Mannan Khan, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

MD.205106 Issued in LA

Practice address

15813 Paul Vega MD Dr Ste 300a
Hammond, LA 70403-1431

Phone

(985) 230-7195

Fax

(985) 230-7196

NPI assigned

Apr 29, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

EndocrinologyAlso: Internal Medicine

Education

Tulane University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Oaks Medical Center Hospital, Hammond, LA, CCN 190015

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• North Oaks Medical Center, LLC

  • General Acute Care Hospital
  • Hammond, LA
  • NPI 1972630705
  Medicare reassignment Care Compare group NPD
• North Oaks Physician Group, LLC

  • Multi-Specialty Clinic/Center
  • Hammond, LA
  • NPI 1427035211
  Medicare reassignment NPD
• Center for Diabetes and Wellness LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Metairie, LA
  • NPI 1497577837
  NPD Authorized official
• Axis One Behavioral Solutions a Professional Medical Corporation

  • Clinical Social Worker
  • Metairie, LA
  • NPI 1073876934
  NPD (past) Authorized official
• Hospital Service District #1 of Tangipahoa

  • General Acute Care Hospital
  • Hammond, LA
  • NPI 1619113875
  NPD (past)

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

• North Oaks Medical Center, LLC

  • Rural Acute Care Hospital
  • Hammond, LA
  • NPI 1144227539
  Care Compare affiliation

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1902123995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3087",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704043087",
            "telephone_number": "985-230-1682",
            "fax_number": "985-230-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15813 PAUL VEGA MD DR STE 300A",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031431",
            "telephone_number": "985-230-7195",
            "fax_number": "985-230-7196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Chateau Mouton Dr",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700651902",
            "country_code": "US",
            "telephone_number": "251-716-4428",
            "fax_number": "504-467-6999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABDUL",
        "middle_name": "MANNAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "LA",
            "license": "MD.205106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103237",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://soapproxyprd.northoaks.org/nohsfhir/api/FHIR/R4/",
            "affiliation": "Y",
            "affiliationName": "North Oaks Physician Group, LLC",
            "address_1": "15813 Paul Vega Md Dr Ste 300A",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704031431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Suanne F Kendrick, AU.D., CCC-A/SLP
• Erin Kennedy, ATC, LAT
• Caitlyn Kernan
• Kerne Counseling & Consulting, LLC
• Robert Marion Kerne, LCSW AND LMFT
• Georges M Khoueiry, M.D.
• R. Vincent Kidd III, MD
• Robert B Kidd, M.D.
• Irina Kim Cavdar, MD
• Jordan Olivia Kindrick

• Endocrinology, Diabetes & Metabolism Physician in Hammond, LA
• Providers in Hammond, LA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.