ELLEXIS KHAN M.D.
NPI 1336671536
Family Medicine - Sports Medicine in Long Beach, CA

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
76.74/100
CMS Quality Rating
450 E SPRING ST STE 1, LONG BEACH, CA 90806(562) 933-0050(562) 933-0079 Get Directions Write a Review

NPPES record last updated: July 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2021, Jun 22, 2021, Feb 22, 2021 and 2 more (5 updates tracked since 2017).

About Ellexis Khan M.d. NPPES

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

ELLEXIS KHAN M.D. (NPI 1336671536) is an individual sports medicine provider in Long Beach, California, licensed in California (A170410) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1336671536
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameELLEXIS KHANCredential: M.D.
Location Address450 E SPRING ST STE 1Long Beach, CA 90806-1625
Mailing Address450 E Spring St Ste 1Long Beach, CA 90806-1625 · (562) 933-0050
Fax(562) 933-0079
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 28, 2017
Last NPPES UpdateJuly 24, 20215 updates tracked since enumeration
NPPES CertifiedJuly 24, 2021
✔ NPI 1336671536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in CA · A170410
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
450 E SPRING ST STE 1, Long Beach, CA 90806

Other Identifiers 1

OtherCB368477CA · Medicare

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

Ellexis Khan M.d. 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 ID9638584360
PECOS Enrollment IDI20210210002439
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

3

Medicare enrollment records show Ellexis Khan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
2441 W LA PALMA AVE
Anaheim, CA 92801
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group
Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
Family Medicine
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 114 clinicians in this Medicare group

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services32 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
30 services11 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
18 services18 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90806 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.94
Promoting Interoperability78
Improvement Activities40
Cost55.12

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.

Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Family Medicine
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Nurse Practitioner
450 E SPRING ST STE 1
LONG BEACH, CA 90806

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 Ellexis Khan's NPI number?

The NPI number for Ellexis Khan is 1336671536. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Ellexis Khan located?

Ellexis Khan practices at 450 E Spring St Ste 1, Long Beach, CA 90806. The listed phone number is (562) 933-0050.

What is Ellexis Khan's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Ellexis Khan enrolled in Medicare?

Yes. Ellexis 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 Ellexis Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellexis Khan reassigns Medicare benefits to 3 organizations: University Of California Irvine (Anaheim, CA), Memorialcare Medical Foundation (Fountain Valley, CA) and Regents Of The University Of (Orange, CA). 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 Ellexis Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ellexis Khan was last updated on July 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.