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MONIRUZZAMAN KHAN MD
NPI 1477592905
General Practice in Warren, MI

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
4402 E 9 MILE RD, WARREN, MI 48091(586) 200-0611(586) 381-7055 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moniruzzaman Khan Md NPPES

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

MONIRUZZAMAN KHAN MD (NPI 1477592905) is an individual general practice provider in Warren, Michigan, licensed in Michigan (MK057394) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in Hamtramck.

NPPES Registry Identity

NPI1477592905
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMONIRUZZAMAN KHANCredential: MD
Location Address4402 E 9 MILE RDWarren, MI 48091-2590
Mailing Address4402 E 9 Mile RdWarren, MI 48091-2590 · (586) 200-0611 · Fax (586) 381-7055
Phone(586) 200-0611
Fax(586) 381-7055
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateJune 6, 2006
Last NPPES UpdateOctober 13, 2020
NPPES CertifiedOctober 13, 2020
✔ NPI 1477592905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · MK057394
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4402 E 9 MILE RD, Warren, MI 48091
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Secondary Practice Location 1

Location 111402 Joseph Campau StHamtramck, MI 48212-3041 · Phone (313) 366-4000 · Fax (313) 366-4001

Other Identifiers 9

OtherG97370Health Alliance Plan
Other6251Total Health
Other120911Care Choice
Medicaid414952410MI
OtherC7543Mcare
Other0634011Bcbs
OtherP105053Bcn
Other1215BCape Health Plan
Other15486Health Plan Of Mich

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

Moniruzzaman 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 ID5597702324
PECOS Enrollment IDI20050414000457
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 6

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.
149 services35 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.
100 services30 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
48 services28 patients
Test for hearing various pitches using earphone 92552
This is a hearing test where earphones are worn to detect different pitch levels. Sounds of various frequencies are played, and you indicate when you hear them. This helps evaluate your hearing ability. It's safe, comfortable, and non-invasive.
19 services18 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
15 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

SONIA KASSANDRA SOTO APRN, FNP-BC
Nurse Practitioner
4402 E 9 MILE RD
WARREN, MI 48091
Macomb County (586) 200-0611

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 Moniruzzaman Khan's NPI number?

The NPI number for Moniruzzaman Khan is 1477592905. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Moniruzzaman Khan located?

Moniruzzaman Khan practices at 4402 E 9 Mile Rd, Warren, MI 48091. The listed phone number is (586) 200-0611.

What is Moniruzzaman Khan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Moniruzzaman Khan enrolled in Medicare?

Yes. Moniruzzaman 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 Moniruzzaman Khan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and McLaren Health Plan Community and 1 other insurer list Moniruzzaman 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 Moniruzzaman Khan affiliated with any hospitals?

According to CMS data, Moniruzzaman Khan is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Moniruzzaman Khan was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.