Manaal Khan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601010660 Issued in MI

Practice address

24224 Joy Rd
Redford, MI 48239-1215

Phone

(313) 561-9090

NPI assigned

Oct 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

96.57 of 100Reported as group

Quality

99.3

Promoting interoperability

100

Improvement activities

40

Cost

80.7

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mkhan1134585@direct.hfhs.org

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.

• Basil Abdo MD PLLC

  • Family Medicine Physician
  • Redford, MI
  • NPI 1215380456
  Medicare reassignment
• Endocrine & Diabetes Consultants PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Rochester Hills, MI
  • NPI 1144237082
  Medicare reassignment

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

{
    "created_epoch": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1932861648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24224 JOY RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24224 JOY RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391215",
            "telephone_number": "313-561-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MANAAL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandie Keskes, NP
• Amanda Kevnick, BA
• Keystep LLC
• Leisa Cahleen Khalaf, MA, LLC
• Ismath Khan, MD
• Laila N Khraizat
• Heather Ann Kick
• Ji S Kim, D.D.S., PLLC
• Raven Taylor Kimmi, MS, LPC, NCC
• Kristin Marie Kinasz, LLMSW

• Physician Assistant in Redford, MI
• Providers in Redford, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.