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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MUHAMMAD AHTESHAM KHAN MD
NPI 1487546982
Student in an Organized Health Care Education/Training Program in Marshfield, WI

Active since July 18, 2025PECOS Enrolled
1000 N OAK AVE, MARSHFIELD, WI 54449(715) 615-1212 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2026, Aug 28, 2026 (2 updates tracked since 2026).

About Muhammad Ahtesham Khan Md NPPES

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

MUHAMMAD AHTESHAM KHAN MD (NPI 1487546982) is an individual student in an organized health care education/training program in Marshfield, Wisconsin, licensed in Wisconsin (88139) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487546982
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMUHAMMAD AHTESHAM KHANCredential: MD
Location Address1000 N OAK AVEMarshfield, WI 54449-5703
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 389-7796
Phone(715) 615-1212
Sole ProprietorNo
Enumeration DateJuly 18, 2025
Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1487546982 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
License✔ Licensed in WI · 88139
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.
1000 N OAK AVE, Marshfield, WI 54449
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Muhammad Ahtesham 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.

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.

ALISON RAE SAMPSON D.O.
Obstetrics & Gynecology
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5161
TAMARA L. LEAHY NP
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (800) 782-8581
SAMANTHA ELAINE MOORE RD, CD, CDCES
Dietitian, Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 389-7464
ROBERT BUNDY
Student in an Organized Health Care Education/Training Program
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5511
EUGENE H. LARSON PA
Physician Assistant
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5245
JAMES SKIBBA CRNA
Nurse Anesthetist, Certified Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-7179
KENNETH E ENGELHART MD
Internal Medicine
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5704
KRISTIN M GERNDT MD
Radiology (Vascular & Interventional Radiology)
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 389-3474

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 Ahtesham Khan's NPI number?

The NPI number for Muhammad Ahtesham Khan is 1487546982. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Muhammad Ahtesham Khan located?

Muhammad Ahtesham Khan practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 615-1212.

What is Muhammad Ahtesham 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 Muhammad Ahtesham Khan enrolled in Medicare?

Yes. Muhammad Ahtesham Khan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Muhammad Ahtesham Khan was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.