Individual provider Active NPI

Afshan Khan, D.O.

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1942682471
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101027000 Issued in MI
Practice address
1921 E 8 Mile Rd
Warren, MI 48091-2402
Phone
(586) 840-1333
Fax
(586) 840-1377
NPI assigned
Jun 20, 2015
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A18653 CA
Internal Medicine Physician 207R00000X 5101027000 MI Primary

Addresses

Primary practice location

1921 E 8 Mile Rd
Warren, MI 48091-2402

Mailing address

1921 E 8 Mile Rd
Warren, MI 48091-2402
Phone (586) 840-1333

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221007001468 MI Practitioner - Internal Medicine 8325303720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dedicated Physicians Group of Michigan, PLLCGroup PAC ID 1153735287, 13 clinicians

Practice addresses (Care Compare)

13210 E Jefferson Ave
Detroit, MI 48215-2704
Phone (313) 335-3444

20001 W 7 Mile Rd
Detroit, MI 48219-3403
Phone (313) 794-5111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A18653CAMDInternal Medicine Physician
5101027000MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services Corporation of Southeastern Indiana Past Accepting new patients
Dedicated Physicians Group of Michigan PLLC PastSince Mar 28, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: afshan.khan.1@19053.direct.athenahealth.com
  • Direct secure messaging: akhan1134576@direct.hfhs.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1434758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1942682471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 E 8 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912402",
            "telephone_number": "586-840-1333",
            "fax_number": "586-840-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 E 8 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912402",
            "telephone_number": "586-840-1333",
            "fax_number": "586-840-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AFSHAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-20",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A18653",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101027000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.