Khan Eyelid and Facial Plastic Surgery LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0421769 Issued in KS

Legal business name

KHAN EYELID AND FACIAL PLASTIC SURGERY LLC

Practice address

9650 Nall Ave
Overland Park, KS 66207-2952

Phone

(913) 696-1154

Fax

(913) 696-0984

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Becky Bias

Title

Office Manager

Phone

(913) 696-1154

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Jemshed A Khan, M.D.

  • Ophthalmology Physician
  • Overland Park, KS
  • NPI 1215034277

  MO

  Medicare reassignment Care Compare group NPD
• Shannon Pruitt, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Overland Park, KS
  • NPI 1295518058

  MO

  Medicare reassignment Care Compare group NPD
• Jason Aaron Sokol, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Prairie Village, KS
  • NPI 1376711010

  Ophthalmology

  Medicare reassignment NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1982701975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 NALL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072952",
            "telephone_number": "913-696-1154",
            "fax_number": "913-696-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 NALL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072952",
            "telephone_number": "913-696-1154",
            "fax_number": "913-696-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAN EYELID AND FACIAL PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "BIAS",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-696-1154"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "0421769",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "36432",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100155470H",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31669015",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ammar Khalifa, MD
• Aroog Khaliq, MD
• Sabeen Khaliq, MD
• Satpurkha Singh Khalsa, D.C.
• Manoj Kumar Khamuani, M.D.
• Ambreen Nasir Khan, MD
• Jemshed A Khan, M.D.
• Shareen Khani, APRN
• Poonam Khanna, D.O.
• Olivia Khazan, R. PH., PHARMD

• Ophthalmology Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Ophthalmology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.