Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MOMINA KHAN PA-C
NPI 1215743380
Physician Assistant in Leominster, MA

Q: What is Momina Khan's NPI number?

The NPI number for Momina Khan is 1215743380. It was assigned to this individual provider in the NPPES registry on December 4, 2024.

Q: What is Momina Khan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Momina Khan was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.

Active since December 04, 2024PECOS Enrolled

225 NEW LANCASTER RD, LEOMINSTER, MA 01453(978) 466-3208(978) 840-1680 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, Mar 26, 2025, Dec 4, 2024 (3 updates tracked since 2024).

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About Momina Khan Pa-c NPPES

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

MOMINA KHAN PA-C (NPI 1215743380) is an individual physician assistant in Leominster, Massachusetts, licensed in Massachusetts (PA100995) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215743380

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMOMINA KHANCredential: PA-C

Location Address225 NEW LANCASTER RDLeominster, MA 01453-4958

Mailing Address225 New Lancaster RdLeominster, MA 01453-4958 · (978) 466-3208 · Fax (978) 840-1680

Phone(978) 466-3208

Fax(978) 840-1680

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 4, 2024

Last NPPES UpdateOctober 29, 20263 updates tracked since enumeration

NPPES CertifiedOctober 29, 2026

✔ NPI 1215743380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MA · PA100995

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

225 NEW LANCASTER RD, Leominster, MA 01453

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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

Momina Khan Pa-c 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 ID42737306

PECOS Enrollment IDI20250509001060

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 01453 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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 20

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

MS. CHRISTINE ELIZABETH MANSEAU PA-C

Physician Assistant