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MOHAMMAD ABBAS KHAN DMD
NPI 1366952897
Dentist in South Windsor, CT

Active since October 11, 2017PECOS Enrolled
101 CORNERSTONE DR, SOUTH WINDSOR, CT 06074(617) 637-3637 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2024, Oct 11, 2017 (2 updates tracked since 2017).

About Mohammad Abbas Khan Dmd NPPES

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

MOHAMMAD ABBAS KHAN DMD (NPI 1366952897) is an individual dentist in South Windsor, Connecticut, licensed in Massachusetts (DN1857790) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366952897
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMOHAMMAD ABBAS KHANCredential: DMD
Location Address101 CORNERSTONE DRSouth Windsor, CT 06074-6302
Mailing Address101 Cornerstone DrSouth Windsor, CT 06074-6302 · (617) 637-3637
Phone(617) 637-3637
Sole ProprietorNo
Enumeration DateOctober 11, 2017
Last NPPES UpdateJune 27, 20242 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1366952897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · DN1857790
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 12164 (CT)
101 CORNERSTONE DR, South Windsor, CT 06074
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Secondary Practice Locations 2

Location 115 New Britain AveUnionville, CT 06085-1277 · Phone (860) 673-2455
Location 21985 Main St Ste FSpringfield, MA 01103-1016 · Phone (413) 747-0400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammad Abbas Khan Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 06074 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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 Mohammad Khan's NPI number?

The NPI number for Mohammad Khan is 1366952897. It was assigned to this individual provider in the NPPES registry on October 11, 2017.

Where is Mohammad Khan located?

Mohammad Khan practices at 101 Cornerstone Dr, South Windsor, CT 06074. The listed phone number is (617) 637-3637.

What is Mohammad Khan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mohammad Khan enrolled in Medicare?

Yes. Mohammad Khan is registered in the Medicare PECOS enrollment system.

What insurance does Mohammad Khan accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Mohammad 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.

When was this NPI record last updated?

The NPPES record for Mohammad Khan was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.