Individual provider Active NPI

Mehr Amjad Khan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Hudson, OH
National Provider Identifier
1922206010
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35.128.273 Issued in OH
Practice address
231 Seasons Rd
Suite 200
Hudson, OH 44224
Phone
(330) 650-5110
Fax
(330) 650-5115
NPI assigned
Jul 10, 2007
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35.128.273 OH Primary

Addresses

Primary practice location

231 Seasons Rd
Suite 200
Hudson, OH 44224

Mailing address

231 Seasons Rd
Suite 200
Hudson, OH 44224
Phone (330) 650-5110

Other identifiers 1

IdentifierTypeStateIssuer
0111105MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20180622002400 OH Practitioner - EndocrinologyPractitioner - Geriatric Medicine 3678793452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Geriatric Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WRH Physicians, IncGroup PAC ID 0840342366, 149 clinicians

Practice addresses (Care Compare)

1900 23Rd St
Cuyahoga Falls, OH 44223-1404

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.128.273OHMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WRH Physicians, Inc. CurrentSince Jul 29, 2018 Accepting new patients
WRH Physicians, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Jul 29, 2018 Accepting new patients

Locations

231 Seasons Rd
Ste 200
Cuyahoga Falls, OH 44224
Phone (330) 926-3313

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372

5655 Hudson Dr
Ste 110
Hudson, OH 44236
Phone (330) 342-4020

Interoperability endpoints

  • Direct secure messaging: mehr.khan.1@19291.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1922206010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SEASONS RD",
            "address_2": "SUITE 200",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "44224",
            "telephone_number": "330-650-5110",
            "fax_number": "330-650-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SEASONS RD",
            "address_2": "SUITE 200",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "44224",
            "telephone_number": "330-650-5110",
            "fax_number": "330-650-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MEHR",
        "middle_name": "AMJAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35.128.273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111105",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.