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SHAH ZAIB KHAN M.D.
NPI 1134919665
Student in an Organized Health Care Education/Training Program in Valparaiso, IN

Active since May 08, 2025PECOS Enrolled
1001 STURDY RD, VALPARAISO, IN 46383(219) 462-7173(219) 462-7504 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2026, May 8, 2025 (2 updates tracked since 2025).

About Shah Zaib Khan M.d. NPPES

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

SHAH ZAIB KHAN M.D. (NPI 1134919665) is an individual student in an organized health care education/training program in Valparaiso, Indiana and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134919665
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHAH ZAIB KHANCredential: M.D.
Location Address1001 STURDY RDValparaiso, IN 46383
Mailing Address1001 Sturdy RdValparaiso, IN 46383 · (219) 462-7173 · Fax (219) 462-7504
Phone(219) 462-7173
Fax(219) 462-7504
Sole ProprietorYes
Enumeration DateMay 8, 2025
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1134919665 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
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.
1001 STURDY RD, Valparaiso, IN 46383
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shah Zaib Khan M.d. 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.

ASHA KOSHY APN
Nurse Practitioner
1001 STURDY RD
VALPARAISO, IN 46383
Porter County (219) 462-7173
AMBER CRANDALL
Dental Hygienist
1001 STURDY RD
VALPARAISO, IN 46383
Porter County (219) 462-7173
LAUREN REISBERG NP-C
Nurse Practitioner (Family)
1001 STURDY RD
VALPARAISO, IN 46383
Porter County (219) 462-7173
ALEXANDER TOKARSKI
Nurse Practitioner
1001 STURDY RD
VALPARAISO, IN 46383
Porter County (219) 462-7173
CARRIE M CRUSE
Nurse Practitioner (Primary Care)
1001 STURDY RD
VALPARAISO, IN 46383
Porter County (219) 462-7173
MR. MARK SUNDH PHARMD
Pharmacist
1001 STURDY RD
VALPARAISO, IN 46383
Porter County (219) 462-7133
BRITTANIE LEE PATEL DDS
Dentist (General Practice)
1001 STURDY RD
VALPARAISO, IN 46383
Porter County (219) 462-7173
JACOB DAVID ZANOLLA PHARMD
Pharmacist
1001 STURDY RD
VALPARAISO, IN 46383
Porter County (219) 462-7173

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 Shah Zaib Khan's NPI number?

The NPI number for Shah Zaib Khan is 1134919665. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Shah Zaib Khan located?

Shah Zaib Khan practices at 1001 Sturdy Rd, Valparaiso, IN 46383. The listed phone number is (219) 462-7173.

What is Shah Zaib Khan's specialty?

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

Is Shah Zaib Khan enrolled in Medicare?

Yes. Shah Zaib Khan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shah Zaib Khan was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.