Shakil Ahmed Khan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

21066 Issued in AL

Practice address

6869 5TH Avenue South
Birmingham, AL 35212-1866

Phone

(205) 838-2031

Fax

(205) 838-2073

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Psychiatry

Education

Icahn School of Medicine at Mount Sinai, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Shakil a Khan MD PC

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1528399078
  Medicare reassignment NPD Authorized official
• Alabama Clinical Schools, Inc

  • Psychiatric Residential Treatment Facility
  • Birmingham, AL
  • NPI 1174541957
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1932148434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BAYHILL RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443308",
            "telephone_number": "205-838-2031",
            "fax_number": "205-838-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6869 5TH AVENUE SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352121866",
            "telephone_number": "205-838-2031",
            "fax_number": "205-838-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAKIL",
        "middle_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "21066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000079003",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anas Uddin Khan, MD,PHD
• Elleena Khan
• Erum Khan, MD
• Masood Khan, MD
• Rabisa Jabeen Khan, MD
• Sheena Khan, MD
• Safal Khanal
• Hasna Khandekar, MD
• Arpit Khandelwal, M.D.
• Arsh Khanwani

• Psychiatry Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.