ABDULLAH KHAN
NPI 1487061834
Pediatrics - Pediatric Emergency Medicine in Loma Linda, CA

Active since July 17, 2014PECOS Enrolled
11234 ANDERSON ST RM A890A, LOMA LINDA, CA 92354(909) 558-7698 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 17, 2019, Oct 9, 2018 (2 updates tracked since 2018).

About Abdullah Khan NPPES

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

ABDULLAH KHAN (NPI 1487061834) is an individual pediatric emergency medicine provider in Loma Linda, California, licensed in California (A148163) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487061834
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameABDULLAH KHAN
Location Address11234 ANDERSON ST RM A890ALoma Linda, CA 92354-2804
Mailing Address11234 Anderson St Rm A890aLoma Linda, CA 92354-2804 · (909) 558-7698
Sole ProprietorNo
Enumeration DateJuly 17, 2014
Last NPPES UpdateJune 17, 20192 updates tracked since enumeration
✔ NPI 1487061834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in CA · A148163
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License A148163 (CA)
11234 ANDERSON ST RM A890A, Loma Linda, CA 92354

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abdullah Khan 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.

Medicare Billing Reassignment

Medicare enrollment records show Abdullah Khan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anatomic Pathology & Clinical Pathology
11234 ANDERSON ST
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Abdullah Khan's NPI number?

The NPI number for Abdullah Khan is 1487061834. It was assigned to this individual provider in the NPPES registry on July 17, 2014.

Where is Abdullah Khan located?

Abdullah Khan practices at 11234 Anderson St Rm A890a, Loma Linda, CA 92354. The listed phone number is (909) 558-7698.

What is Abdullah Khan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Abdullah Khan enrolled in Medicare?

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

Which organization bills Medicare for Abdullah Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdullah Khan reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abdullah Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Abdullah Khan was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.