GHULAM KHAN MD
NPI 1588042220
Family Medicine in Pine Bluff, AR

Q: What is Ghulam Khan's NPI number?

The NPI number for Ghulam Khan is 1588042220. It was assigned to this individual provider in the NPPES registry on May 14, 2015.

Q: What is Ghulam Khan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ghulam Khan was last updated on October 23, 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.

Active since May 14, 2015PECOS EnrolledAccepts Medicare Assignment

94.24/100

CMS Quality Rating

4010 S MULBERRY ST, PINE BLUFF, AR 71603(870) 541-6000 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 23, 2019, Jul 6, 2018 (2 updates tracked since 2018).

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About Ghulam Khan Md NPPES

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

GHULAM KHAN MD (NPI 1588042220) is an individual family medicine provider in Pine Bluff, Arkansas, licensed in Arkansas (E-10502) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1588042220

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGHULAM KHANCredential: MD

Location Address4010 S MULBERRY STPine Bluff, AR 71603

Mailing Address4010 S Mulberry StPine Bluff, AR 71603-7000 · (870) 541-6010

Phone(870) 541-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMay 14, 2015

Last NPPES UpdateOctober 23, 20192 updates tracked since enumeration

✔ NPI 1588042220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in AR · E-10502✔ Licensed in CT · 64115

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4010 S MULBERRY ST, Pine Bluff, AR 71603

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ghulam 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 ID648557686

PECOS Enrollment IDI20190911002444

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 Reassignments

Medicare enrollment records show Ghulam Khan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ess Of Fordyce LLC

35 mi

Emergency Medicine

201 N CLIFTON ST
Fordyce, AR 71742

Reassigned Medicare billing, Arkansas enrollment
125 clinicians in this Medicare group

NPI 1821547977 (870) 352-6300

Hospital Care Consultants Of Fordyce LLC

35 mi

Hospitalist

201 N CLIFTON ST
Fordyce, AR 71742

Reassigned Medicare billing, Arkansas enrollment
121 clinicians in this Medicare group

NPI 1316497464 (870) 352-6300

Ess Hospitalist LLC

73 mi

Hospitalist

1015 UNITY RD
Crossett, AR 71635

Reassigned Medicare billing, Arkansas enrollment
152 clinicians in this Medicare group

NPI 1881967305 (866) 931-8882

Arkansas Emergency Staffing Solutions, Inc

98 mi

Emergency Medicine

2001 S MAIN ST
Hope, AR 71801

Reassigned Medicare billing, Arkansas enrollment
323 clinicians in this Medicare group

NPI 1275774630 (870) 777-2323

Nes Kentucky Inc

108 mi

Emergency Medicine

130 MEDICAL CIR
Nashville, AR 71852

Reassigned Medicare billing, Arkansas enrollment
47 clinicians in this Medicare group

NPI 1902348048 (870) 845-4400

Nuvance Health Medical Practice Ct, Inc.

1,128 mi

Internal Medicine

24 HOSPITAL AVE
Danbury, CT 06810

Reassigned Medicare billing, Connecticut enrollment
818 clinicians in this Medicare group

NPI 1407898117 (203) 739-7742

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

Areas of Expertise CMS Part B claims 15

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 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.

668 services343 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

390 services110 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

208 services178 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.

120 services120 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

69 services58 patients

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.

58 services57 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

57 services46 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

38 services38 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

31 services31 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

30 services29 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

27 services26 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

26 services26 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

26 services13 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

23 services23 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71603 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

94.24/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.26

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers11 claims25 services$6.56 avg. paid by Medicare

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955

DME-Wheelchairs · category DD021N

1 supplier13 claims13 services$12.67 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

1 supplier22 claims22 services$11.36 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 20

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

ELIZABETH V RIGSBY MD

Emergency Medicine