Active NPI
Haseeb Khan, MD
- Pain Medicine (Anesthesiology) Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 4301509043
- Practice address
- 6071 W Outer Dr
Detroit, MI 48235-2624 - Phone
- (313) 966-3841
- NPI assigned
- Apr 29, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 4301509043 | MI | Primary |
Addresses
Primary practice location
6071 W Outer Dr
Detroit, MI 48235-2624
Mailing address
6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3841
Other practice location 1
3003 University Dr
Marinette, WI 54143-4110
Phone (715) 735-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100229306 | Medicaid | WI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Human Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marlette Regional Hospital
Practice addresses (Care Compare)
2750 Main St
Suite 5
Marlette, MI 48453-1100
Phone (989) 635-4050
2770 Main St
Marlette, MI 48453-1141
Phone (989) 635-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301509043 | MI | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deckerville Community Hospital, Inc | Current | Accepting new patients | |
| McLaren Medical Group | Emergency Medicine | Current | Accepting new patients |
| Marlette Regional Hospital | Current | Accepting new patients | |
| Degara App, PLLC | Emergency Medicine | Current | Accepting new patients |
| McLaren Medical Group | Current | Accepting new patients | |
| Deckerville Community Hospital, Inc. | Current | Accepting new patients | |
| Marlette Regional Hospital | Current | Accepting new patients | |
| Aurora Medical Center of Oshkosh, Inc | Emergency Medicine | Current | Accepting new patients |
| Hills & Dales General Hospital, Inc. | Current | Accepting new patients | |
| Marlette Regional Hospital | Emergency Medicine | Current | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141
4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121
39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880
3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
2770 Main St
Marlette, MI 48453
Phone (989) 635-4000
2750 Main St
Ste 5
Marlette, MI 48453
Phone (989) 635-4050
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643
Interoperability endpoints
- hkhan170215@direct.covenanthealthcare.com
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Lansing, MI
- NPI 1265976971
-
- Rural Health Clinic/Center
- Marlette, MI
- NPI 1235333931
-
- Emergency Medicine Physician
- Marlette, MI
- NPI 1598840498
-
- Critical Access Hospital
- Deckerville, MI
- NPI 1619095718
-
- Critical Access Hospital
- Marlette, MI
- NPI 1346325214
-
- Clinic/Center
- Port Sanilac, MI
- NPI 1013799469
-
- Family Medicine Physician
- Deckerville, MI
- NPI 1164818977
-
- Critical Access Hospital
- Cass City, MI
- NPI 1154367001
-
- Family Medicine Physician
- Marlette, MI
- NPI 1730988999
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1073650750
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1275578064
Emergency Medicine
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Cass City, MI
- NPI 1154367001
-
- Critical Access Hospital
- Marlette, MI
- NPI 1346325214
-
- Critical Access Hospital
- Sandusky, MI
- NPI 1497750608
-
- General Acute Care Hospital
- Lapeer, MI
- NPI 1205824737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1962023069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6071 W OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352624",
"telephone_number": "313-966-3841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6071 W OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352624",
"telephone_number": "313-966-3841"
}
],
"practiceLocations": [
{
"address_1": "3003 University Dr",
"address_purpose": "LOCATION",
"city": "Marinette",
"state": "WI",
"postal_code": "541434110",
"country_code": "US",
"telephone_number": "715-735-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "HASEEB",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-29",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MI",
"license": "4301509043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100229306",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.