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DR. ABDUL QADIR KHAN MD
NPI 1164509964
Internal Medicine in Hamilton, OH

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
630 EATON AVE, HAMILTON, OH 45013(513) 867-2000 Get Directions Write a Review

NPPES record last updated: February 4, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Abdul Qadir Khan Md NPPES

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

DR. ABDUL QADIR KHAN MD (NPI 1164509964) is an individual internal medicine provider in Hamilton, Ohio, licensed in Ohio (35-091775) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Southwest F, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1164509964
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ABDUL QADIR KHANCredential: MD
Location Address630 EATON AVEHamilton, OH 45013-2767
Mailing Address630 Eaton AveHamilton, OH 45013-2767 · (513) 867-2000
Phone(513) 867-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 1, 2006
Last NPPES UpdateFebruary 4, 2009
✔ NPI 1164509964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 35-091775✔ Licensed in WV · 20619
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.
630 EATON AVE, Hamilton, OH 45013
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINH46762WV
Medicaid7100058010KY
Medicaid2001516000WV
Medicare ID-Type UnspecifiedKH4058781WV
Medicaid2366863OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Dr. Abdul Qadir Khan Md 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 ID6608949078
PECOS Enrollment IDI20101025000779
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

2

Medicare enrollment records show Abdul Khan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Health Physicians Group
808 mi
Internal Medicine
874 ED HALL DR STE B108
Kaufman, TX 75142
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
NPI 1992151740 (214) 860-6300
Texas Health Virtual Care
816 mi
Internal Medicine
8200 WALNUT HILL LN FL 4
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 284 clinicians in this Medicare group
NPI 1942951199 (214) 345-8001

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 4

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.
570 services223 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.
94 services92 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.
80 services77 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
54 services52 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Harris Methodist Hospital Southwest F

Acute Care Hospitals · Fort Worth, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450779
Location6100 Harris PkwyFort Worth, TX 76132 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45013 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

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
1 supplier11 claims11 services$15.53 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
1 supplier11 claims11 services$67.35 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.

HAMILTON ANESTHESIA ASSOCIATES, INC
Anesthesiology
630 EATON AVE
HAMILTON, OH 45013
Butler County (513) 874-6590
THE FORT HAMILTON HOSPITAL, INC.
Psychiatry & Neurology (Psychiatry)
630 EATON AVE
HAMILTON, OH 45013
Butler County (513) 867-2433
MONICA MOBLEY
Pharmacist
630 EATON AVE
HAMILTON, OH 45013
Butler County (513) 867-2140
GHAZALA SADRUDDIN MALIK M.D.
Emergency Medicine
630 EATON AVE
HAMILTON, OH 45013
Butler County (513) 867-2270
PAMELA J CRULL PAC
Physician Assistant
630 EATON AVE
HAMILTON, OH 45013
Butler County (513) 867-2270
FRANCISCO J RAMIREZ MD
Emergency Medicine
630 EATON AVE
HAMILTON, OH 45013
Butler County (513) 867-2270
MS. MARY ELIZABETH WASH RD,LD
Dietitian, Registered
630 EATON AVE
HAMILTON, OH 45013
Butler County (513) 867-2331
GREENE MEMORIAL HOSPITAL SERVICES, INC
Psychiatry & Neurology (Psychiatry)
630 EATON AVE, 2 WEST
HAMILTON, OH 45013
Butler County (513) 867-4169

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 Abdul Khan's NPI number?

The NPI number for Abdul Khan is 1164509964. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Abdul Khan located?

Abdul Khan practices at 630 Eaton Ave, Hamilton, OH 45013. The listed phone number is (513) 867-2000.

What is Abdul Khan's specialty?

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

Is Abdul Khan enrolled in Medicare?

Yes. Abdul 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 Abdul Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdul Khan reassigns Medicare benefits to 2 organizations: Texas Health Physicians Group (Kaufman, TX) and Texas Health Virtual Care (Dallas, TX). 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 Abdul Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abdul Khan accept?

Health plans from Blue Cross and Blue Shield of Texas list Abdul 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 Abdul Khan affiliated with any hospitals?

According to CMS data, Abdul Khan is affiliated with Texas Health Harris Methodist Hospital Southwest F.

When was this NPI record last updated?

The NPPES record for Abdul Khan was last updated on February 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.