1. Home
  2. Directory
  3. Colorado
  4. Pueblo
  5. Surgery
  6. NPI Profile

MARYAM IDREES KHAN MD
NPI 1215426440
Surgery in Pueblo, CO

Active since May 03, 2018PECOS EnrolledAccepts Medicare Assignment
1600 N GRAND AVE STE 430, PUEBLO, CO 81003(719) 545-8240(719) 545-4319 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2025, Aug 15, 2024, Jul 12, 2024 and 1 more (4 updates tracked since 2018).

About Maryam Idrees Khan Md NPPES

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

MARYAM IDREES KHAN MD (NPI 1215426440) is an individual surgery provider in Pueblo, Colorado, licensed in Colorado (DR.0073816) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215426440
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMARYAM IDREES KHANCredential: MD
Location Address1600 N GRAND AVE STE 430Pueblo, CO 81003-2760
Mailing Address1600 N Grand Ave Ste 430Pueblo, CO 81003-2760 · (719) 545-8240 · Fax (719) 545-4319
Phone(719) 545-8240
Fax(719) 545-4319
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 3, 2018
Last NPPES UpdateFebruary 27, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1215426440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in CO · DR.0073816✔ Licensed in NY · 322450
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 322450 (NY), DR.0073816 (CO)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1600 N GRAND AVE STE 430, Pueblo, CO 81003
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1161 Fort Washington Ave Fl 10New York, NY 10032-3729 · Phone (212) 305-9676
Location 2525 W 15th St Ste 300Pueblo, CO 81003-2716 · Phone (719) 542-1696 · Fax (719) 542-1698

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maryam Idrees 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 ID6901263532
PECOS Enrollment IDI20240827003575
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81003 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

PRISCILLA NOBECOURT
Surgery
1600 N GRAND AVE STE 430
PUEBLO, CO 81003
Pueblo County (719) 545-8240
POUDRE VALLEY MEDICAL GROUP, LLC
Surgery
1600 N GRAND AVE STE 430
PUEBLO, CO 81003
Pueblo County (719) 545-8240
TERRA CHAMBERS NP
Nurse Practitioner (Gerontology)
1600 N GRAND AVE STE 430
PUEBLO, CO 81003
Pueblo County (719) 545-8240

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 Maryam Khan's NPI number?

The NPI number for Maryam Khan is 1215426440. It was assigned to this individual provider in the NPPES registry on May 3, 2018.

Where is Maryam Khan located?

Maryam Khan practices at 1600 N Grand Ave Ste 430, Pueblo, CO 81003. The listed phone number is (719) 545-8240.

What is Maryam Khan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Maryam Khan enrolled in Medicare?

Yes. Maryam 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.

When was this NPI record last updated?

The NPPES record for Maryam Khan was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.