Active NPI
Gauhar R Khan, M.D.
- Interventional Cardiology Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- A102895
- Practice address
- 1409 E Briggsmore Ave
Modesto, CA 95355 - Phone
- (209) 550-4750
- Fax
- (209) 572-1187
- NPI assigned
- Dec 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | MD25690 | OR | |
| Interventional Cardiology Physician | 207RI0011X | A102895 | CA | Primary |
Addresses
Primary practice location
1409 E Briggsmore Ave
Modesto, CA 95355
Mailing address
10470 Old Placerville Rd Ste 100
Sacramento, CA 95827-2539
Phone (800) 470-0071
Other practice location 1
1540 Florida Ave Ste 100
Modesto, CA 95350-4430
Phone (209) 577-5557
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278082 | Medicaid | OR | |
| P00250897 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Delbon Ave
Turlock, CA 95382-2008
Phone (209) 524-9401
1011 Sylvan Ave
Suite C
Modesto, CA 95350-1693
Phone (209) 550-4780
1409 E Briggsmore Ave
Modesto, CA 95355-2707
Phone (209) 524-1211
1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500
2505 W Hammer LN
Stockton, CA 95209-2839
Phone (209) 957-7050
2545 W Hammer LN
Stockton, CA 95209-2839
Phone (209) 957-7050
2800 L St
Sacramento, CA 95816-5616
441 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 830-4062
445 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 524-1211
447 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 830-4062
473 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 833-3320
600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 41 |
| Pacemaker insertion or repair | 20 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A102895 | CA | MD | Interventional Cardiology Physician |
| MD25690 | OR | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Oak Valley Hospital District | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Doctors Medical Center of Modesto | Past | Accepting new patients | |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients | |
| Emanuel Medical Center, Inc. | Past | Accepting new patients |
Locations
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
1409 E Briggsmore Ave
Modesto, CA 95355
Phone (209) 550-4725
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833
Phone (916) 887-7398
10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827
Interoperability endpoints
- gkhan95639@hisp.ehr.sutterhealth.org
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Cardiovascular Disease Physician
- Modesto, CA
- NPI 1689614562
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Family Medicine Physician
- Patterson, CA
- NPI 1073944393
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- General Acute Care Hospital
- Turlock, CA
- NPI 1174615330
-
- General Acute Care Hospital
- Oakdale, CA
- NPI 1346381415
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1699129601
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1922162114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272539",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 E BRIGGSMORE AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "95355",
"telephone_number": "209-550-4750",
"fax_number": "209-572-1187"
}
],
"practiceLocations": [
{
"address_1": "1540 Florida Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953504430",
"country_code": "US",
"telephone_number": "209-577-5557",
"fax_number": "209-579-7246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "GAUHAR",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OR",
"license": "MD25690",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "A102895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278082",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00250897",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.