SYAM DURRANI KHAN DO
NPI 1174264840
Student in an Organized Health Care Education/Training Program in Du Bois, PA

Active since April 05, 2022PECOS Enrolled
100 HOSPITAL AVE, DU BOIS, PA 15801(814) 375-6379(814) 375-9320 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2025, Jul 21, 2024, Apr 24, 2024 and 1 more (4 updates tracked since 2022).

About Syam Durrani Khan Do NPPES

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

SYAM DURRANI KHAN DO (NPI 1174264840) is an individual student in an organized health care education/training program in Du Bois, Pennsylvania, licensed in Pennsylvania (OT023992) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174264840
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSYAM DURRANI KHANCredential: DO
Location Address100 HOSPITAL AVEDu Bois, PA 15801-1440
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-2200 · Fax (814) 375-9320
Fax(814) 375-9320
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateNovember 21, 20254 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
NPI 1174264840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in PA · OT023992
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.
100 HOSPITAL AVE, Du Bois, PA 15801

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Syam Durrani Khan Do 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.

Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801
Physician Assistant
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner (Family)
100 HOSPITAL AVE
DU BOIS, PA 15801
Radiology (Diagnostic Radiology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Anesthesiology
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801
Registered Nurse
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner (Gerontology)
100 HOSPITAL AVE
DU BOIS, PA 15801

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 Syam Khan's NPI number?

The NPI number for Syam Khan is 1174264840. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Syam Khan located?

Syam Khan practices at 100 Hospital Ave, Du Bois, PA 15801. The listed phone number is (814) 375-6379.

What is Syam 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 Syam Khan enrolled in Medicare?

Yes. Syam Khan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Syam Khan was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.