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RAJA MUHAMMAD KHAN M.D.
NPI 1124307459
Internal Medicine in Macon, GA

Active since August 04, 2011PECOS EnrolledAccepts Medicare Assignment
535 COLISEUM DR, MACON, GA 31217(478) 803-7300 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 10, 2023, Apr 25, 2018 (2 updates tracked since 2018).

About Raja Muhammad Khan M.d. NPPES

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

RAJA MUHAMMAD KHAN M.D. (NPI 1124307459) is an individual internal medicine provider in Macon, Georgia, licensed in Georgia (86073) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124307459
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAJA MUHAMMAD KHANCredential: M.D.
Location Address535 COLISEUM DRMacon, GA 31217-0104
Mailing Address208 Carriage WayMacon, GA 31210-8634 · (314) 757-9436 · Fax (248) 551-8880
Phone(478) 803-7300
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 4, 2011
Last NPPES UpdateFebruary 10, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
✔ NPI 1124307459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in GA · 86073✔ Licensed in OH · 35.125999✔ Licensed in MI · 4301098441
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
535 COLISEUM DR, Macon, GA 31217
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 395-6665 · Fax (937) 395-6668
Location 22200 Philadelphia Dr Ste 441Dayton, OH 45406-1840 · Phone (937) 734-4690 · Fax (937) 734-4386
Location 33601 W 13 Mile RdRoyal Oak, MI 48073-6712 · Phone (248) 551-6489 · Fax (248) 551-8880

Other Identifiers 1

Medicaid0131279OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Raja Muhammad 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 ID1456584515
PECOS Enrollment IDI20200710001782
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

5

Medicare enrollment records show Raja Khan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pollux LLC
Same address
Internal Medicine
535 COLISEUM DR
Macon, GA 31217
  • Reassigned Medicare billing, Georgia enrollment
NPI 1962109926 (478) 803-7300
Cogent Healthcare Of Macon, LLC
1.6 mi
Internal Medicine
777 HEMLOCK ST
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 114 clinicians in this Medicare group
NPI 1073564217 (478) 633-7550
Cogent Healthcare Of Georgia PC
4.9 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 635 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200
Houston Hospitalist Group LLC
16 mi
Hospitalist
1601 WATSON BLVD
Warner Robins, GA 31093
  • Reassigned Medicare billing, Georgia enrollment
  • 150 clinicians in this Medicare group
NPI 1962040147 (478) 922-4281
Hospital Medicine Services Of Ga LLC
158 mi
Hospitalist
4700 WATERS AVE
Savannah, GA 31404
  • Reassigned Medicare billing, Georgia enrollment
  • 169 clinicians in this Medicare group
NPI 1891653655 (912) 350-7020

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

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,539 services280 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
397 services372 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
168 services163 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
160 services78 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31217 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers64 claims64 services$17.36 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers64 claims64 services$90.80 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 20

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

REGENCY HOSPITAL COMPANY OF MACON LLC
Hospitalist
535 COLISEUM DR
MACON, GA 31217
Bibb County (478) 803-7300
HEATHER E WALLACE
Nurse Practitioner (Gerontology)
535 COLISEUM DR
MACON, GA 31217
Bibb County (478) 972-0277
ALESSANDRA ESNARD FNP-C
Nurse Practitioner (Family)
535 COLISEUM DR
MACON, GA 31217
Bibb County (478) 226-4086
JANELLE PHYNOTOLEE FERGUSON
Registered Nurse (Critical Care Medicine)
535 COLISEUM DR
MACON, GA 31217
Bibb County (478) 803-7300
MRS. DORIS S VEAL NP
Nurse Practitioner (Family)
535 COLISEUM DR
MACON, GA 31217
Bibb County (147) 880-3730
FRAULEIN KYZER NP
Nurse Practitioner (Family)
535 COLISEUM DR
MACON, GA 31217
Bibb County (478) 972-0277
AMY MARIE SAMUELS OTR/L, C/NDT
Occupational Therapist
535 COLISEUM DR
MACON, GA 31217
Bibb County (478) 803-7300
REGENCY HOSPITAL COMPANY OF MACON LLC
Long Term Care Hospital
535 COLISEUM DR
MACON, GA 31217
Bibb County (478) 633-8200

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 Raja Khan's NPI number?

The NPI number for Raja Khan is 1124307459. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Raja Khan located?

Raja Khan practices at 535 Coliseum Dr, Macon, GA 31217. The listed phone number is (478) 803-7300.

What is Raja Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raja Khan enrolled in Medicare?

Yes. Raja 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 Raja Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raja Khan reassigns Medicare benefits to 5 organizations: Pollux LLC (Macon, GA), Cogent Healthcare Of Macon, LLC (Macon, GA), Cogent Healthcare Of Georgia PC (Macon, GA), Houston Hospitalist Group LLC (Warner Robins, GA) and Hospital Medicine Services Of Ga LLC (Savannah, GA). 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 Raja Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raja Khan accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Raja Khan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Raja Khan affiliated with any hospitals?

According to CMS data, Raja Khan is affiliated with Houston Healthcare, Atrium Health Navicent The Medical Center, Coliseum Medical Centers, LLC, Dba and West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Raja Khan was last updated on February 10, 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.