Organization Active NPI

Four Jewels Healthways

  • Cardiovascular Disease Physician
  • Charlotte, NC
National Provider Identifier
1982069928
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35007 Issued in NC
Legal business name
FOUR JEWELS HEALTHWAYS
Practice address
320 Lillington Ave Ste 201
Charlotte, NC 28204-3189
Phone
(704) 347-0049
Fax
(704) 347-0979
NPI assigned
Dec 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Dr. Masood N Khan, MD. F.A.C.PNPI 1588652218
Title
President
Phone
(704) 347-0049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 35007 NC Primary

Addresses

Primary practice location

320 Lillington Ave Ste 201
Charlotte, NC 28204-3189

Mailing address

320 Lillington Ave Ste 201
Charlotte, NC 28204-3189
Phone (704) 347-0049

Other identifiers 1

IdentifierTypeStateIssuer
8948892MedicaidNC

Other names 1

  • Masood N Khan MD,F.A.C.P Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1982069928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LILLINGTON AVE STE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043189",
            "telephone_number": "704-347-0049",
            "fax_number": "704-347-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LILLINGTON AVE STE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043189",
            "telephone_number": "704-347-0049",
            "fax_number": "704-347-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR JEWELS HEALTHWAYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MASOOD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-347-0049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD. F.A.C.P"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "35007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8948892",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masood N Khan MD,F.A.C.P",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.