JALAL-UD-DIN KHAN MD
NPI 1114603818
Student in an Organized Health Care Education/Training Program in Madison, WI

Q: What is Jalal-ud-din Khan's NPI number?

The NPI number for Jalal-ud-din Khan is 1114603818. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Q: What is Jalal-ud-din Khan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jalal-ud-din Khan was last updated on June 26, 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.

Active since June 26, 2023PECOS Enrolled

749 UNIVERSITY ROW STE 200, MADISON, WI 53705(608) 263-6400 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jalal-ud-din Khan Md NPPES

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

JALAL-UD-DIN KHAN MD (NPI 1114603818) is an individual student in an organized health care education/training program in Madison, Wisconsin, licensed in Wisconsin (100281-851) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114603818

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJALAL-UD-DIN KHANCredential: MD

Location Address749 UNIVERSITY ROW STE 200Madison, WI 53705-1465

Mailing Address749 University Row Ste 200Madison, WI 53705-1465 · (608) 263-6400

Phone(608) 263-6400

Sole ProprietorNo

Enumeration DateJune 26, 2023

NPPES CertifiedJune 26, 2023

✔ NPI 1114603818 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

License✔ Licensed in WI · 100281-851

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.

749 UNIVERSITY ROW STE 200, Madison, WI 53705

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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 (PECOS)

Jalal-ud-din Khan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. LEAH MERRELL GOBER MD

Student in an Organized Health Care Education/Training Program