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IRTIAH KHAN PA-C
NPI 1073259149
Physician Assistant in Warren, MI

Active since May 10, 2022PECOS EnrolledAccepts Medicare Assignment
31150 HOOVER RD STE B, WARREN, MI 48093(586) 983-3666 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Irtiah Khan Pa-c NPPES

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

IRTIAH KHAN PA-C (NPI 1073259149) is an individual physician assistant in Warren, Michigan, licensed in Michigan (5601011120) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1073259149
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameIRTIAH KHANCredential: PA-C
Location Address31150 HOOVER RD STE BWarren, MI 48093-7618
Mailing Address31150 Hoover Rd Ste BWarren, MI 48093-7618
Phone(586) 983-3666
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 10, 2022
NPPES CertifiedMay 10, 2022
✔ NPI 1073259149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601011120
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
31150 HOOVER RD STE B, Warren, MI 48093
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Irtiah Khan Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012400351
PECOS Enrollment IDI20251204001474
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48093 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. NARAYAN P VERMA MD
Psychiatry & Neurology (Neurology)
31150 HOOVER RD STE B, STE B
WARREN, MI 48093
Macomb County (586) 983-3666
KRISTIN HARDECKI PA-C
Physician Assistant
31150 HOOVER RD STE B
WARREN, MI 48093
Macomb County (586) 983-3666

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 Irtiah Khan's NPI number?

The NPI number for Irtiah Khan is 1073259149. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Where is Irtiah Khan located?

Irtiah Khan practices at 31150 Hoover Rd Ste B, Warren, MI 48093. The listed phone number is (586) 983-3666.

What is Irtiah Khan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Irtiah Khan enrolled in Medicare?

Yes. Irtiah Khan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Irtiah Khan affiliated with any hospitals?

According to CMS data, Irtiah Khan is affiliated with St Joseph's Hospital Health Center.

When was this NPI record last updated?

The NPPES record for Irtiah Khan was last updated on May 10, 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.