Individual provider Active NPI

Muhammad Shayan Khan, MD

  • Interventional Cardiology Physician
  • Palm Coast, FL
National Provider Identifier
1972090116
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME175259 Issued in FL
Practice address
3 Adventhealth Way Ste 130
Palm Coast, FL 32137-4702
Phone
(386) 586-4765
Fax
(386) 586-4769
NPI assigned
Apr 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35.147330 OH
Interventional Cardiology Physician 207RI0011X ME175259 FL Primary

Addresses

Primary practice location

3 Adventhealth Way Ste 130
Palm Coast, FL 32137-4702

Mailing address

770 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5179
Phone (386) 231-4746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240513000860 AZ Practitioner - Internal Medicine 9830563451 Reassigns benefits to 1 organization
I20250725000432 WA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 9830563451 Reassigns benefits to 1 organization
I20250728002669 FL Practitioner - Interventional Cardiology 9830563451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

1 Adventhealth Way
Palm Coast, FL 32137-4702
Phone (386) 302-1800

Hospital & facility affiliations

  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
99.61 of 100Reported as group
Quality
100
Improvement activities
40
Cost
88.22

Merit-based Incentive Payment System (MIPS)

Final score
88.05 of 100Reported as group
Improvement activities
40
Cost
69.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Jul 1, 2025 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Jul 25, 2025 Accepting new patients
Apogee Medical Group Inc CurrentSince Apr 1, 2024 Accepting new patients
Providence Health & Services - Washington CurrentSince Jul 1, 2025 Accepting new patients
Apogee Medical Group Inc CurrentSince Apr 1, 2024 Accepting new patients
Memorial Hospital Flagler Inc PastSince Sep 14, 2025 Accepting new patients
Kingman Healthcare, Inc Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

770 W Granada Blvd
Ste 101
Ormond Beach, FL 32174
Phone (386) 231-4519

3 Adventhealth Way
Ste 130
Palm Coast, FL 32137
Phone (386) 586-1930

1 Adventhealth Way
Palm Coast, FL 32137
Phone (330) 414-9233

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

1330 Rockefeller Ave
Ste 310
Everett, WA 98201
Phone (425) 261-4925

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

Interoperability endpoints

  • Direct secure messaging: mkhan5368249@adventhealth.direct-ci.com
  • Direct secure messaging: mkhan890810@direct.hfhs.org

Organizations & group practices 8

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 6

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1972090116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W GRANADA BLVD STE 101",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745179",
            "telephone_number": "386-231-4746",
            "fax_number": "386-368-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ADVENTHEALTH WAY STE 130",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374702",
            "telephone_number": "386-586-4765",
            "fax_number": "386-586-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUHAMMAD",
        "middle_name": "SHAYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.147330",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME175259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.