DR. SAMEED AHMED MUSTAFA KHATANA M.D.
NPI 1497018733
Internal Medicine - Cardiovascular Disease in Philadelphia, PA

Active since June 21, 2012PECOS EnrolledAccepts Medicare Assignment
3400 CIVIC CENTER BLVD, 11 SOUTH, PHILADELPHIA, PA 19104(215) 662-2884 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2026, May 8, 2019 (2 updates tracked since 2019).

About Dr. Sameed Ahmed Mustafa Khatana M.d. NPPES

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

DR. SAMEED AHMED MUSTAFA KHATANA M.D. (NPI 1497018733) is an individual cardiovascular disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD459558) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of University Of Pittsburgh School Of Medicine (2012).

NPPES Registry Identity

NPI1497018733
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SAMEED AHMED MUSTAFA KHATANACredential: M.D.
Location Address3400 CIVIC CENTER BLVD, 11 SOUTHPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center BlvdPhiladelphia, PA 19104-5127 · (215) 662-7355 · Fax (215) 349-8444
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2012
Enumeration DateJune 21, 2012
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
NPI 1497018733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in PA · MD459558
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD459558 (PA)
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

Secondary Practice Location 1

Location 13900 Woodland AvePhiladelphia, PA 19104-4551 · Phone (215) 662-7355 · Fax (215) 349-8444

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

Dr. Sameed Ahmed Mustafa Khatana 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 ID8820236110
PECOS Enrollment IDI20200518000299
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104

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 Sameed Ahmed Khatana's NPI number?

The NPI number for Sameed Ahmed Khatana is 1497018733. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Sameed Ahmed Khatana located?

Sameed Ahmed Khatana practices at 3400 Civic Center Blvd 11 South, Philadelphia, PA 19104. The listed phone number is (215) 662-2884.

What is Sameed Ahmed Khatana's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sameed Ahmed Khatana enrolled in Medicare?

Yes. Sameed Ahmed Khatana 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.

When was this NPI record last updated?

The NPPES record for Sameed Ahmed Khatana was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.