Individual provider Active NPI

Uzma Khan, MD

  • Rheumatology Physician
  • Vancouver, WA
National Provider Identifier
1992746432
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD00044263 Issued in WA
Practice address
1405 SE 164TH Ave Ste 201
Vancouver, WA 98683-9644
Phone
(360) 453-7068
Fax
(360) 597-7581
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD00044263 WA Primary

Addresses

Primary practice location

1405 SE 164TH Ave Ste 201
Vancouver, WA 98683-9644

Mailing address

1405 SE 164TH Ave Ste 201
Vancouver, WA 98683-9644
Phone (360) 453-7068

Other identifiers 1

IdentifierTypeStateIssuer
8409443MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041018001027 WA Practitioner - RheumatologyPractitioner - Internal Medicine 0648241505 Reassigns benefits to 2 organizations
I20210727003887 CA Practitioner - Rheumatology 0648241505

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1405 SE 164TH Ave
Suite 201
Vancouver, WA 98683-9644
Phone (360) 453-7068

Hospital & facility affiliations

  • Peacehealth St John Medical Center Hospital, Longview, WA, CCN 500041
  • Legacy Salmon Creek Medical Center Hospital, Vancouver, WA, CCN 500150
  • Peacehealth Southwest Medical Cente Hospital, Vancouver, WA, CCN 500050
  • Arbor Health Morton Hospital Hospital, Morton, WA, CCN 501319
  • Columbia Memorial Hospital Hospital, Astoria, OR, CCN 381320

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uzma a Khan MD PLLC Rheumatology CurrentSince Aug 1, 2022 Accepting new patients
Overlake Arthritis and Osteoporosis Center, PLLC CurrentSince Dec 6, 2024 Accepting new patients
Wisconsin Michigan Physicians, SC Past Accepting new patients
Bell Medical Center Past Accepting new patients

Locations

2100 116th Ave NE
Bellevue, WA 98004
Phone (425) 453-0766

1405 SE 164th Ave
Ste 201
Vancouver, WA 98683
Phone (360) 256-1190

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIEHCD
  • Direct secure messaging: uzma.khan.p1@direct.akr.nextgenshare.com

Organizations & group practices 4

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 11

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1992746432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SE 164TH AVE STE 201",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839644",
            "telephone_number": "360-453-7068",
            "fax_number": "360-597-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SE 164TH AVE STE 201",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839644",
            "telephone_number": "360-453-7068",
            "fax_number": "360-597-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "UZMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WA",
            "license": "MD00044263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8409443",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.