Individual provider Active NPI

Neha Khan

  • Internal Medicine Physician
  • Peoria, AZ
National Provider Identifier
1972065365
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R77433 Issued in AZ
Practice address
13350 N 94TH Dr # 101
Peoria, AZ 85381-4826
Phone
(623) 974-1500
Fax
(623) 933-3383
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X R77433 AZ Primary

Addresses

Primary practice location

13350 N 94TH Dr # 101
Peoria, AZ 85381-4826

Mailing address

18701 N 67TH Ave
Glendale, AZ 85308-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20221202001005 AZ Practitioner - Internal Medicine 0042689630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dvma LLCGroup PAC ID 0941302053, 56 clinicians

Practice addresses (Care Compare)

1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (602) 532-1000

Hospital & facility affiliations

  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094
  • Abrazo Scottsdale Campus Hospital, Phoenix, AZ, CCN 030083
  • Phoenix Indian Medical Center Hospital, Phoenix, AZ, CCN 030078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R77433AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Physicians, Inc. CurrentSince Oct 15, 2022 Accepting new patients
Dvma, LLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
American Physicians, Inc Family Medicine CurrentSince Oct 15, 2022 Accepting new patients
VHS of Arrowhead, Inc Past Accepting new patients
VHS of Arrowhead, Inc. Past Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

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 3

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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1972065365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18701 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 N 94TH DR # 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814826",
            "telephone_number": "623-974-1500",
            "fax_number": "623-933-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NEHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R77433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.