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J. KHAN, LLC
NPI 1003076712
Internal Medicine - Infectious Disease in Kingman, AZ

Active since June 16, 2008
1739 E BEVERLY AVE, SUITE 221, KINGMAN, AZ 86409(928) 681-8671(928) 681-8672 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About J. Khan, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

J. KHAN, LLC (NPI 1003076712) is a healthcare organization registered as an infectious disease in Kingman, Arizona and active in the NPI registry since June 2008. The organization lists Jakulla Khan, Owner, as its authorized official.

NPPES Registry Identity

NPI1003076712
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameJ. KHAN, LLC
Location Address1739 E BEVERLY AVE, SUITE 221Kingman, AZ 86409-3593
Mailing Address1739 E Beverly Ave, Suite 221Kingman, AZ 86409-3593 · (928) 681-8671 · Fax (928) 681-8672
Phone(928) 681-8671
Fax(928) 681-8672
Organization SubpartNo
Authorized OfficialJakulla KhanOwner · (928) 681-8671
Enumeration DateJune 16, 2008
Last NPPES UpdateMarch 7, 2023
✔ NPI 1003076712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in AZ · 37755
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1739 E BEVERLY AVE, Kingman, AZ 86409
Open in Google Maps ↗

Other Identifiers 1

Other37755AZ · Az Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

J. Khan, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20080725000008Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to J. Khan, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jakaulla Khan, MD
Infectious Disease
NPI 1306936349
1003 MAIN AVE
Clifton, NJ 07011
(973) 777-9595
✔ PECOS✔ Accepts Medicare2,192 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is J. Khan, LLC's NPI number?

The NPI number for J. Khan, LLC is 1003076712. It was assigned to this organization in the NPPES registry on June 16, 2008.

Where is J. Khan, LLC located?

J. Khan, LLC is located at 1739 E Beverly Ave Suite 221, Kingman, AZ 86409. The listed phone number is (928) 681-8671.

What is J. Khan, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is J. Khan, LLC enrolled in Medicare?

Yes. J. Khan, LLC is registered in the Medicare PECOS enrollment system.

When is J. Khan, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through J. Khan, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to J. Khan, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for J. Khan, LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.