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

Active since December 04, 2024PECOS EnrolledAccepts Medicare Assignment
70 GOLD STAR BLVD, WORCESTER, MA 01606(508) 426-9002(508) 426-9070 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 26, 2025, Dec 4, 2024 (2 updates tracked since 2024).

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 Worcester, Massachusetts and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elkins Park, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215743380
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMOMINA KHANCredential: PA-C
Location Address70 GOLD STAR BLVDWorcester, MA 01606-2812
Mailing Address360 Us Highway 1 Byp Unit 102Portsmouth, NH 03801-7105 · (603) 410-6700 · Fax (603) 319-8308
Phone(508) 426-9002
Fax(508) 426-9070
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 4, 2024
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ 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
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.
70 GOLD STAR BLVD, Worcester, MA 01606
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Secondary Practice Location 1

Location 18360 Old York RdElkins Park, PA 19027-1576 · Phone (215) 780-1400

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 01606 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 4

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

EMILY BRISBOIS FNP-BC
Nurse Practitioner (Family)
70 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (508) 426-9002
LYNNEA HALEY TALBOT PA-C
Student in an Organized Health Care Education/Training Program
70 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (508) 426-9002
TIMOTHY LOFTUS PAC
Physician Assistant
70 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (508) 426-9002
MS. ARIELLE FRANCES ILEY PA-C
Physician Assistant
70 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (508) 426-9002

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 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.

Where is Momina Khan located?

Momina Khan practices at 70 Gold Star Blvd, Worcester, MA 01606. The listed phone number is (508) 426-9002.

What is Momina Khan's specialty?

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

Is Momina Khan enrolled in Medicare?

Yes. Momina 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 Momina Khan was last updated on March 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.