Individual provider Active NPI

Anam Ali Khan, MD

  • Internal Medicine Physician
  • Saginaw, MI
National Provider Identifier
1972036317
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301502878 Issued in MI
Practice address
4705 Towne Centre Rd Ste 204
Saginaw, MI 48604-2819
Phone
(989) 780-2455
Fax
(989) 401-8485
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301502878 MI Primary

Addresses

Primary practice location

4705 Towne Centre Rd Ste 204
Saginaw, MI 48604-2819

Mailing address

PO Box 779
Tawas City, MI 48764-0779
Phone (989) 780-2455

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anamkhan@smomsjhs.allscriptsdirect.net

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
I20200817003164 MI Practitioner - Internal Medicine 6709159130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nevada School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians

Practice addresses (Care Compare)

4701 Towne Centre Rd
Suite 204
Saginaw, MI 48604-2834
Phone (989) 780-2455

Hospital & facility affiliations

  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Sep 1, 2020 Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

1600 Brady St
Chesaning, MI 48616
Phone (989) 497-9395

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4701 Towne Centre Rd
Ste 3
Saginaw, MI 48604
Phone (989) 790-0007

1015 S Washington Ave
Fl 2
Saginaw, MI 48601
Phone (989) 753-5300

4705 Towne Centre Rd
Ste 204
Saginaw, MI 48604
Phone (989) 780-2455

1015 S Washington Ave
Ste 2
Saginaw, MI 48601

4701 Towne Centre Rd
Ste 204
Saginaw, MI 48604
Phone (989) 780-2455

1212 W Saginaw Rd
Vassar, MI 48768
Phone (989) 823-5020

Interoperability endpoints

  • Direct secure messaging: anam.khan.1@11016.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1972036317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487640779",
            "telephone_number": "989-780-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 TOWNE CENTRE RD STE 204",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042819",
            "telephone_number": "989-780-2455",
            "fax_number": "989-401-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ANAM",
        "middle_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301502878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anamkhan@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "4705 Towne Centre Rd Ste 204",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486042819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.