Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Faiz Ullah Khan, MD

Individual provider Family Medicine Physician · NPI 1861698904

Faiz Ullah Khan, MD is a Family Practice in LA Porte, Indiana. Qualified in 1994, 32 years ago. Practices with Select Rehabilitation, LLC, a 2,028-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
32
Licensed in
IN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

900 I St
LA Porte, IN 46350-5533
Phone: (219) 324-1700
Fax: (219) 324-1602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 714 N Michigan St, South Bend, IN 46601-1035 — (574) 647-7477

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01063976A (IN)

Record details

NPI number1861698904
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2007
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Select Rehabilitation, Llc — 2028 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in LA Porte