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RUKHSANA KHAN M.D.
NPI 1104865625
Psychiatry & Neurology - Psychiatry in San Jose, CA

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
80 GREAT OAKS BLVD, SAN JOSE, CA 95119(408) 363-3064(408) 363-3046 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rukhsana Khan M.d. NPPES

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

RUKHSANA KHAN M.D. (NPI 1104865625) is an individual psychiatry provider in San Jose, California, licensed in California (A 052862) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1104865625
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameRUKHSANA KHANCredential: M.D.
Location Address80 GREAT OAKS BLVDSan Jose, CA 95119-1310
Mailing Address80 Great Oaks BlvdSan Jose, CA 95119-1310 · (408) 363-3064 · Fax (408) 363-3046
Phone(408) 363-3064
Fax(408) 363-3046
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJune 6, 2006
Last NPPES UpdateJanuary 18, 2022
NPPES CertifiedJanuary 18, 2022
✔ NPI 1104865625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A 052862
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
80 GREAT OAKS BLVD, San Jose, CA 95119
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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 and accepts Medicare assignment

Rukhsana Khan M.d. 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 ID2264617711
PECOS Enrollment IDI20130506000420
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 Reassignments

3

Medicare enrollment records show Rukhsana Khan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Santa Clara
6.3 mi
Federally Qualified Health Center (FQHC)
500 TULLY RD
San Jose, CA 95111
  • Reassigned Medicare billing, California enrollment
  • 2,460 clinicians in this Medicare group
NPI 1376538991 (408) 885-5000
Permanente Medical Group Inc
14 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000
Comprehensive Psychiatric Services, A Medical Group
50 mi
Psychiatry
3100 OAK ROAD, SUITE 270
Walnut Creek, CA 94597
  • Reassigned Medicare billing, California enrollment
  • 149 clinicians in this Medicare group
NPI 1184785834 (925) 944-9711

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95119 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
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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 20

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

VA PALO ALTO HEALTHCARE SYSTEM
Clinic/Center (VA)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Santa Clara County (408) 363-3000
NICHOLE E IMAMURA-SPERLING LCSW
Social Worker
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Santa Clara County (408) 363-3000
MARYPAT KELLY GNP
Nurse Practitioner (Gerontology)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Santa Clara County (408) 363-3000
DR. NHA-AI NGUYEN-DUC M.D.
Internal Medicine
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Santa Clara County (408) 363-3000
PATRICIA ANN ASH MOORE LCSW-C
Social Worker (Clinical)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Santa Clara County (408) 363-3000
DANIEL F EVENHOUSE MSW, LCSW
Social Worker (Clinical)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Santa Clara County (408) 363-3000
MS. MARIA CHARISMA SIDECO LICERALDE APRN, PMHNP, BC
Registered Nurse (Psychiatric/Mental Health, Adult)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Santa Clara County (408) 363-3000
MS. ASHLEY MARIE ANZALONE AU.D.
Audiologist
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Santa Clara County (408) 363-3000

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 Rukhsana Khan's NPI number?

The NPI number for Rukhsana Khan is 1104865625. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Rukhsana Khan located?

Rukhsana Khan practices at 80 Great Oaks Blvd, San Jose, CA 95119. The listed phone number is (408) 363-3064.

What is Rukhsana Khan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Rukhsana Khan enrolled in Medicare?

Yes. Rukhsana 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.

Which organizations bill Medicare for Rukhsana Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rukhsana Khan reassigns Medicare benefits to 3 organizations: County Of Santa Clara (San Jose, CA), Permanente Medical Group Inc (Santa Clara, CA) and Comprehensive Psychiatric Services, A Medical Group (Walnut Creek, CA). Each 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 Rukhsana 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 Rukhsana Khan was last updated on January 18, 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.