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DR. IMTIAZ AHMAD KHAN M.D.
NPI 1356481261
Emergency Medicine in Lawrenceville, GA

Active since February 08, 2007PECOS EnrolledAccepts Medicare Assignment
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30045(678) 442-3317(678) 442-4416 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Imtiaz Ahmad Khan M.d. NPPES

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

DR. IMTIAZ AHMAD KHAN M.D. (NPI 1356481261) is an individual emergency medicine provider in Lawrenceville, Georgia, licensed in Georgia (035077) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Upson Regional Medical Center, and is a graduate of Southern Illinois University School Of Medicine (1990).

NPPES Registry Identity

NPI1356481261
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. IMTIAZ AHMAD KHANCredential: M.D.
Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30045-7694
Mailing Address908 Adair Ave NeAtlanta, GA 30306-3806 · (404) 733-6554 · Fax (678) 442-4416
Phone(678) 442-3317
Fax(678) 442-4416
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1990
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356481261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 035077
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30045
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Other Identifiers 3

Medicare UPINF52925GA
Medicare ID-Type Unspecified93BDKPHGA
Medicaid00538964DGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Insurance Company.Insurance ›

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

Dr. Imtiaz Ahmad 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 ID4284717083
PECOS Enrollment IDI20080218000409, I20191016000751
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

15

Medicare enrollment records show Imtiaz Khan reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northside Hospital, Inc.
Same address
General Acute Care Hospital
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Gwinnett Hospital System, Inc.
  • 98 clinicians in this Medicare group
NPI 1952340994 (678) 312-1000
Walker Lake Emergency Group, PC
19 mi
Emergency Medicine
1412 MILSTEAD AVE NE
Conyers, GA 30012
  • Reassigned Medicare billing, Georgia enrollment
  • 85 clinicians in this Medicare group
NPI 1437629342 (770) 918-3000
Northside Urgent Care Holding, LLC
20 mi
Urgent Care
1000 JOHNSON FY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 67 clinicians in this Medicare group
NPI 1679962237 (855) 709-4535
Reid Emergency Group, PC
57 mi
Emergency Medicine
101 LAKE OCONEE PKWY
Eatonton, GA 31024
  • Reassigned Medicare billing, Georgia enrollment
  • 29 clinicians in this Medicare group
NPI 1659872497 (706) 485-2711
Etowah Emergency Physicians, LLC
68 mi
Emergency Medicine
2360 ROCKMART HWY
Cedartown, GA 30125
  • Reassigned Medicare billing, Georgia enrollment
  • 102 clinicians in this Medicare group
NPI 1306388343 (770) 748-2500
Hightower Emergency Group, PC
77 mi
Emergency Medicine
801 W GORDON ST
Thomaston, GA 30286
  • Reassigned Medicare billing, Georgia enrollment
  • 66 clinicians in this Medicare group
NPI 1790285815 (706) 647-8111
Chattooga River Physicians, LLC
87 mi
Emergency Medicine
1358 HIGHWAY 27
Trion, GA 30753
  • Reassigned Medicare billing, Georgia enrollment
  • 58 clinicians in this Medicare group
NPI 1184302473 (706) 238-8360
Peach State Emergency Physicians LLC
122 mi
Emergency Medicine
1350 WALTON WAY
Augusta, GA 30901
  • Reassigned Medicare billing, Georgia enrollment
  • 159 clinicians in this Medicare group
NPI 1053170605 (706) 722-9011
South Georgia Emergency Medicine Associates PC
216 mi
Emergency Medicine
915 GORDON AVE
Thomasville, GA 31792
  • Reassigned Medicare billing, Georgia enrollment
  • 147 clinicians in this Medicare group
NPI 1386903649 (229) 228-2000
Acs Primary Care Physicians - Southeast PC
299 mi
Emergency Medicine
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, Georgia enrollment
  • 586 clinicians in this Medicare group
NPI 1861430555 (843) 692-1000

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.
38 services38 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
38 services38 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
33 services31 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upson Regional Medical Center

Acute Care Hospitals · Thomaston, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110002
Location801 W Gordon StreetThomaston, GA 30286 · Upson County
Emergency services Birthing friendly

Northwest Texas Hospital

Acute Care Hospitals · Amarillo, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450209
Location1501 S Coulter StAmarillo, TX 79106 · Potter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30045 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

AMANARH ALBERT KISSEIH MD
Emergency Medicine
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 442-3317
DR. CRAIG M SPECTOR MD
Anesthesiology
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 963-9905
DONALD ALFRED RUF MD
Emergency Medicine
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 442-3317
MR. CHARLES LEROY PEACOCK CRNA
Nurse Anesthetist, Certified Registered
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 442-4321
DR. STEPHEN F LEGUM MD
Radiology (Diagnostic Radiology)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 995-4321
MRS. KIMBERLY MARIE SMITH FNP-C
Nurse Practitioner (Family)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 442-4350
JUNE ELLEN SELBY CNM
Advanced Practice Midwife
1000 MEDICAL CENTER BLVD, OB CLINIC
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 312-4616
DR. DOUGLAS H SEEB MD
Radiology (Diagnostic Radiology)
1000 MEDICAL CENTER BLVD, RADIOLOGY DEPT
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 995-4321

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 Imtiaz Khan's NPI number?

The NPI number for Imtiaz Khan is 1356481261. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Imtiaz Khan located?

Imtiaz Khan practices at 1000 Medical Center Blvd, Lawrenceville, GA 30045. The listed phone number is (678) 442-3317.

What is Imtiaz Khan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Imtiaz Khan enrolled in Medicare?

Yes. Imtiaz 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 Imtiaz Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Imtiaz Khan reassigns Medicare benefits to 15 organizations: Northside Hospital, Inc. (Lawrenceville, GA), Walker Lake Emergency Group, PC (Conyers, GA), Northside Urgent Care Holding, LLC (Atlanta, GA), Reid Emergency Group, PC (Eatonton, GA), Etowah Emergency Physicians, LLC (Cedartown, GA) and 10 more organizations, listed in the Medicare section above. 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 Imtiaz Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Imtiaz Khan accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Health and Oscar Insurance Company list Imtiaz Khan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Imtiaz Khan affiliated with any hospitals?

According to CMS data, Imtiaz Khan is affiliated with Upson Regional Medical Center and Northwest Texas Hospital.

When was this NPI record last updated?

The NPPES record for Imtiaz Khan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.