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MUHAMMAD ALI KHAN MD
NPI 1396700043
Internal Medicine - Infectious Disease in Frisco, TX

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
10.63/100
CMS Quality Rating
12505 LEBANON RD, FRISCO, TX 75035(469) 453-8118(630) 596-1220 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 4, 2024, Apr 12, 2019 (2 updates tracked since 2019).

About Muhammad Ali Khan Md NPPES

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

MUHAMMAD ALI KHAN MD (NPI 1396700043) is an individual infectious disease provider in Frisco, Texas, licensed in Texas (N2594) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Sana Healthcare Carrollton D/b/a Carrollton Regional Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1396700043
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameMUHAMMAD ALI KHANCredential: MD
Location Address12505 LEBANON RDFrisco, TX 75035-8298
Mailing AddressPo Box 737045Dallas, TX 75373-7045 · (469) 453-8118 · Fax (630) 596-1220
Phone(469) 453-8118
Fax(630) 596-1220
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateApril 18, 2006
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1396700043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TX · N2594
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

12505 LEBANON RD, Frisco, TX 75035
Open in Google Maps ↗

Other Identifiers 1

Medicaid281443602TX

Accepted Insurance

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

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

Muhammad Ali Khan Md 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 ID244224012
PECOS Enrollment IDI20110504000537
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.

Areas of Expertise CMS Part B claims 8

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
5,136 services1,153 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
1,858 services1,350 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,373 services585 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
483 services152 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
376 services125 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
257 services197 patients

Hospital Affiliations CMS Care Compare 2

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

2/5 CMS rating
OwnershipProprietary
CMS Certification Number450730
Location4343 North Josey LaneCarrollton, TX 75010 · Denton County

Baylor Scott & White Medical Center - Centennial

Acute Care Hospitals · Frisco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450885
Location12505 Lebanon RoadFrisco, TX 75035 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75035 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

10.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost35.44

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$54.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LYNNE CONNELLY N.N.P.
Nurse Practitioner (Neonatal, Critical Care)
12505 LEBANON RD
FRISCO, TX 75035
Collin County (214) 343-6663
POPPY DRIVE INPATIENT SERVICES PLLC
Internal Medicine
12505 LEBANON RD
FRISCO, TX 75035
Collin County (469) 401-2386
MS. KATRINA JEANETTE STUART APRN, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
12505 LEBANON RD
FRISCO, TX 75035
Collin County (214) 343-6663
CHARLES F DRYDEN JR. MD
Emergency Medicine
12505 LEBANON RD, EMERGENCY DEPARTMENT
FRISCO, TX 75035
Collin County (972) 963-3039
DONNA MARIE VAJI
Registered Nurse (Lactation Consultant)
12505 LEBANON RD
FRISCO, TX 75035
Collin County (469) 764-8000
DR. TITILOLA FADAHUNSI GLASS M.D.
Obstetrics & Gynecology (Hospice and Palliative Medicine)
12505 LEBANON RD
FRISCO, TX 75035
Collin County (214) 820-9248
DALLAS MD ASSOCIATES LLC
Internal Medicine (Infectious Disease)
12505 LEBANON RD
FRISCO, TX 75035
Collin County (469) 453-8118
DR. YONG CHAN LEE MD
Emergency Medicine
12505 LEBANON RD
FRISCO, TX 75035
Collin County (972) 963-3309

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 Muhammad Khan's NPI number?

The NPI number for Muhammad Khan is 1396700043. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Muhammad Khan located?

Muhammad Khan practices at 12505 Lebanon Rd, Frisco, TX 75035. The listed phone number is (469) 453-8118.

What is Muhammad Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Muhammad Khan enrolled in Medicare?

Yes. Muhammad 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.

What insurance does Muhammad Khan accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Muhammad 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 Muhammad Khan affiliated with any hospitals?

According to CMS data, Muhammad Khan is affiliated with Sana Healthcare Carrollton D/B/A Carrollton Regional Medical Center and Baylor Scott & White Medical Center - Centennial.

When was this NPI record last updated?

The NPPES record for Muhammad Khan was last updated on September 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.