Individual provider Active NPI

Naseeruddin Ahmed Khan, MD

  • Nephrology Physician
  • Baton Rouge, LA
National Provider Identifier
1912954496
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD.204898 Issued in LA
Practice address
9001 Summa Avenue
Baton Rouge, LA 70809-3726
Phone
(225) 771-8483
NPI assigned
May 28, 2006
Last updated
Jan 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 16696 MS
Nephrology Physician 207RN0300X MD.204898 LA Primary

Addresses

Primary practice location

9001 Summa Avenue
Baton Rouge, LA 70809-3726

Mailing address

1514 Jefferson Highway
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other identifiers 2

IdentifierTypeStateIssuer
2162985MedicaidLA
00122992MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, 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
I20110926000416 LA Practitioner - NephrologyPractitioner - Internal Medicine 9133185267 Reassigns benefits to 3 organizations
I20210211003197 TX Practitioner - NephrologyPractitioner - Emergency Medicine 9133185267 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Emergency Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas Renal Group, P.a.Group PAC ID 0244277283, 52 clinicians

Practice addresses (Care Compare)

3571 W Wheatland Rd
Suite 101
Dallas, TX 75237-3461
Phone (972) 274-5555

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Oct 1, 2011 Accepting new patients
Concord Medical Group PLLC CurrentSince Jan 1, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 1, 2011 Accepting new patients
Acs Primary Care Physicians Louisiana PC CurrentSince Dec 1, 2016 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Dallas Renal Group PA Nephrology CurrentSince Mar 1, 2021 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jan 1, 2021 Accepting new patients
Mayfair Emergency Group, LLC CurrentSince Jun 1, 2018 Accepting new patients
Naseeruddin a Khan Nephrology PastSince Jan 1, 2006 Accepting new patients
Columbus Family Medical Clinic LLC PastSince Oct 1, 2025 Accepting new patients
Nephrology Associates, PC Nephrology PastSince Jul 1, 2004 Accepting new patients
Brooksville Medical Clinic Inc Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

9001 Summa Ave
Baton Rouge, LA 70809

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

1514 Jefferson Hwy
New Orleans, LA 70121

25455 Highway 1
Plaquemine, LA 70764
Phone (225) 754-6870

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1222 N Bishop Ave
Ste 500
Dallas, TX 75208
Phone (972) 274-5555

3571 W Wheatland Rd
#101
Dallas, TX 75237
Phone (972) 274-5555

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHCAD

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1912954496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HIGHWAY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 SUMMA AVENUE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093726",
            "telephone_number": "225-771-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NASEERUDDIN",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "16696",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD.204898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2162985",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122992",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.