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ADEEL KHAN M.D.
NPI 1467481465
Internal Medicine - Nephrology in Midland, MI

Active since July 02, 2006PECOS EnrolledAccepts Medicare Assignment
415 W WACKERLY ST, MIDLAND, MI 48640(989) 837-6505(989) 835-8428 Get Directions Write a Review

NPPES record last updated: January 22, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Adeel Khan M.d. NPPES

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

ADEEL KHAN M.D. (NPI 1467481465) is an individual nephrology provider in Midland, Michigan, licensed in Michigan (4301062170) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alpena, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1467481465
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameADEEL KHANCredential: M.D.
Location Address415 W WACKERLY STMidland, MI 48640-2761
Mailing Address415 W Wackerly StMidland, MI 48640-2761 · (989) 837-6505 · Fax (989) 835-8428
Phone(989) 837-6505
Fax(989) 835-8428
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 2, 2006
Last NPPES UpdateJanuary 22, 2013
✔ NPI 1467481465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MI · 4301062170
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
415 W WACKERLY ST, Midland, MI 48640
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Other Identifiers 12

Other1032653MI · Mclaren
Other200000005783MI · Php Commercial
Medicare UPINH06515MI
Medicare PINN55280001MI
Other1006835MI · Mclaren Health Plan
Other1011192MI · Mclaren Health Plan
Medicare PIN110200098MI
Other0989454MI · Healthplus Commercial
Other1105610461MI · Bcbsm
Other200000014300MI · Php Coml.
Medicare PINP58230001MI
Medicaid4584928MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Adeel 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 ID7012802283
PECOS Enrollment IDI20040217000564
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 9

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.

Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
461 services94 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
356 services227 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
298 services47 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.
212 services61 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
125 services18 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
124 services54 patients

Hospital Affiliations CMS Care Compare 5

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

Mymichigan Medical Center Alpena

Acute Care Hospitals · Alpena, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number230036
Location1501 W Chisholm StAlpena, MI 49707 · Alpena County
Emergency services Birthing friendly

Ascension St Mary's Hospital

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230077
Location800 S Washington AvenueSaginaw, MI 48601 · Saginaw County
Emergency services

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Mymichigan Medical Center Gladwin

Critical Access Hospitals · Gladwin, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231325
Location515 Quarter StreetGladwin, MI 48624 · Gladwin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48640 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
99%336 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
74%2,372 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
3%991 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
54%1,312 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
9%1,424 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 98% · 656 patients
99%656 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 991 patients
0%991 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers15 claims855 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers11 claims972 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers15 claims1,620 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers31 claims31 services$10.65 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENAL ASSOCIATES OF MID-MICHIGAN PC
Internal Medicine (Nephrology)
415 W WACKERLY ST
MIDLAND, MI 48640
Midland County (989) 837-6505
SUE ANN HAFER NP
Nurse Practitioner (Family)
415 W WACKERLY ST, SUITE C
MIDLAND, MI 48640
Midland County (989) 837-6505

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 Adeel Khan's NPI number?

The NPI number for Adeel Khan is 1467481465. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Adeel Khan located?

Adeel Khan practices at 415 W Wackerly St, Midland, MI 48640. The listed phone number is (989) 837-6505.

What is Adeel Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Adeel Khan enrolled in Medicare?

Yes. Adeel 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 Adeel Khan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Adeel 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 Adeel Khan affiliated with any hospitals?

According to CMS data, Adeel Khan is affiliated with Mymichigan Medical Center Alpena, Ascension St Mary's Hospital, Mymichigan Medical Center Clare, Mymichigan Medical Center Midland and Mymichigan Medical Center Gladwin.

When was this NPI record last updated?

The NPPES record for Adeel Khan was last updated on January 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.