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NPISignal

Individual Healthcare Provider

Qaiser Shamshir Khan, MD, MPH

NPI Record: ActivePsychiatry & Neurology — Addiction Psychiatry
NPI1861806192
Worcester, Massachusetts

Provider's NPPES record last updated: March 5, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1861806192
Primary Specialty
Psychiatry & Neurology — Addiction Psychiatry
Practice Location
Worcester, Massachusetts
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 10:15 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychiatry & Neurology

    Addiction Psychiatry

    Allopathic & Osteopathic Physicians

    Primary

    Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

    Taxonomy code 2084P0802X

Provider-Reported License Information

Psychiatry & Neurology (Massachusetts)
274343
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

55 Lake Ave N # S7-831

Worcester, Massachusetts 01655

Phone: (508) 856-1256

Additional Practice Location

920 Stanton L Young Blvd

Wp 3440

Oklahoma City, Oklahoma 73104-5036

Phone: (405) 271-8001

Fax: (405) 271-7724

Additional Practice Location

235 North Pearl St

Brockton, Massachusetts 02301

Phone: (508) 427-3000

Record Information

Enumeration Date
June 14, 2014
Provider's NPPES Record Last Updated
March 5, 2025
Certification Date
March 5, 2025
NPISignal NPPES Dataset
August 2026

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