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DR. KHALID B KHAN M.D.
NPI 1063440840
Family Medicine in Hawthorne, CA

Active since June 29, 2006PECOS EnrolledCLIA 05D0547893 · Waiver
91.03/100
CMS Quality Rating
13425 INGLEWOOD AVE, HAWTHORNE, CA 90250(310) 679-2201(310) 679-4236 Get Directions Write a Review

NPPES record last updated: December 20, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Khalid B Khan M.d. NPPES

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

DR. KHALID B KHAN M.D. (NPI 1063440840) is an individual family medicine provider in Hawthorne, California, licensed in California (A62486) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2028, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1063440840
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KHALID B KHANCredential: M.D.
Location Address13425 INGLEWOOD AVEHawthorne, CA 90250-5608
Mailing Address13425 Inglewood AveHawthorne, CA 90250-5608 · (310) 679-2201 · Fax (310) 679-4236
Phone(310) 679-2201
Fax(310) 679-4236
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJune 29, 2006
Last NPPES UpdateDecember 20, 2012
✔ NPI 1063440840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A62486
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License A62486 (CA)
Also ListedPediatricsTaxonomy 208000000X · License A62486 (CA)
13425 INGLEWOOD AVE, Hawthorne, CA 90250
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Other Identifiers 3

Medicare UPING68606CA
Medicare ID-Type UnspecifiedWA62486E
Medicare PINW19473CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Khalid B Khan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254375777
PECOS Enrollment IDI20050615000974
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 Khalid Khan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Khalid B. Khan M.D., Inc
Same address
Family Medicine
13425 INGLEWOOD AVE
Hawthorne, CA 90250
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Khalid B Khan MD Inc
NPI 1750327235 (310) 679-2201

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0547893

Khalid B Khan, MD, Inc · Hawthorne, CA
Active · expires Aug 31, 2028
CLIA Number05D0547893
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorKhalid B. Khan MD
Laboratory Phone(310) 679-2201
Laboratory LocationKhalid B Khan, MD, Inc13425 Inglewood Ave, Hawthorne, CA 90250
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,113 services177 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
162 services106 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
42 services38 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
41 services30 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90250 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality72.13
Improvement Activities40
Cost84.87

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%80 patients
Controlling High Blood Pressure
76%579 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
37%263 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%7,488 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
31%1,410 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers57 claims108 services$6.18 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers23 claims23 services$0.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MICHAELEN DIIORIO P.A.
Physician Assistant
13425 INGLEWOOD AVE
HAWTHORNE, CA 90250
Los Angeles County (310) 679-2201
KHALID B. KHAN M.D., INC
Family Medicine
13425 INGLEWOOD AVE
HAWTHORNE, CA 90250
Los Angeles County (310) 679-2201

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 Khalid Khan's NPI number?

The NPI number for Khalid Khan is 1063440840. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Khalid Khan located?

Khalid Khan practices at 13425 Inglewood Ave, Hawthorne, CA 90250. The listed phone number is (310) 679-2201.

What is Khalid Khan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Khalid Khan enrolled in Medicare?

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

Which organization bills Medicare for Khalid Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khalid Khan reassigns Medicare benefits to Khalid B. Khan M.D., Inc (Hawthorne, CA). 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 Khalid Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Khalid Khan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0547893) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Khalid Khan was last updated on December 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.