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KHADEJA KHAN MD
NPI 1376247858
Student in an Organized Health Care Education/Training Program in Pinecrest, FL

Active since March 28, 2023PECOS Enrolled
10811 SW 78TH AVE, PINECREST, FL 33156(305) 922-6507 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Khadeja Khan Md NPPES

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

KHADEJA KHAN MD (NPI 1376247858) is an individual student in an organized health care education/training program in Pinecrest, Florida and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376247858
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKHADEJA KHANCredential: MD
Location Address10811 SW 78TH AVEPinecrest, FL 33156-3729
Mailing Address10811 Sw 78th AvePinecrest, FL 33156-3729 · (305) 922-6507
Phone(305) 922-6507
Sole ProprietorYes
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
✔ NPI 1376247858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10811 SW 78TH AVE, Pinecrest, FL 33156
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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 (PECOS)

Khadeja Khan Md 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.

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 Khadeja Khan's NPI number?

The NPI number for Khadeja Khan is 1376247858. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Khadeja Khan located?

Khadeja Khan practices at 10811 SW 78th Ave, Pinecrest, FL 33156. The listed phone number is (305) 922-6507.

What is Khadeja Khan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Khadeja Khan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Khadeja Khan was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.