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ATIF KHAN
NPI 1023758505
Student in an Organized Health Care Education/Training Program in Brooksville, FL

Active since March 31, 2022PECOS Enrolled
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613(352) 596-6632 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Atif Khan NPPES

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

ATIF KHAN (NPI 1023758505) is an individual student in an organized health care education/training program in Brooksville, Florida and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (2021).

NPPES Registry Identity

NPI1023758505
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameATIF KHAN
Location Address11375 CORTEZ BLVDBrooksville, FL 34613-5409
Mailing Address11375 Cortez BlvdBrooksville, FL 34613-5409 · (352) 596-6632
Phone(352) 596-6632
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2021
Enumeration DateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1023758505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11375 CORTEZ BLVD, Brooksville, FL 34613
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7911467501
PECOS Enrollment IDI20260902003077
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Atif Khan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allied Healthcare LLC
7.7 mi
Internal Medicine
5350 SPRING HILL DR
Spring Hill, FL 34606
  • Reassigned Medicare billing, Florida enrollment
  • 46 clinicians in this Medicare group
NPI 1558089367 (352) 688-8116

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAN MICHAEL
Internal Medicine
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 592-2755
MELISSA MIDDLEBROOKS MD
Student in an Organized Health Care Education/Training Program
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 597-3072
KRISTEN COSTA
Nurse Practitioner (Family)
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 596-6632
DR. CASPER HEPLER DO
Anesthesiology
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 597-3072
NEAMI TERVIL DO
Student in an Organized Health Care Education/Training Program
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 592-2756
HCA HEALTH SERVICES OF FLORIDA, INC.
General Acute Care Hospital
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 596-6632
PUSHPA ALLAM-NANDYALA MD
Pathology (Anatomic Pathology & Clinical Pathology)
11375 CORTEZ BLVD, OAK HILL HOSPITAL
BROOKSVILLE, FL 34613
Hernando County (352) 596-6632
DR. ANUJ ANIL BHATIA MD
Internal Medicine
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 596-6632

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 Atif Khan's NPI number?

The NPI number for Atif Khan is 1023758505. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Atif Khan located?

Atif Khan practices at 11375 Cortez Blvd, Brooksville, FL 34613. The listed phone number is (352) 596-6632.

What is Atif Khan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Atif Khan enrolled in Medicare?

Yes. Atif Khan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Atif Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Atif Khan reassigns Medicare benefits to Allied Healthcare LLC (Spring Hill, FL). The 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 Atif Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Atif Khan was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.