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MARIAM TAJALLI KHAN MD
NPI 1588225692
Surgery in Grand Rapids, MI

Active since June 28, 2019PECOS EnrolledAccepts Medicare Assignment
145 MICHIGAN ST NE STE 4400, GRAND RAPIDS, MI 49503(616) 486-6333 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 27, 2025, Jul 15, 2019, Jul 1, 2019 (3 updates tracked since 2019).

About Mariam Tajalli Khan Md NPPES

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

MARIAM TAJALLI KHAN MD (NPI 1588225692) is an individual surgery provider in Grand Rapids, Michigan, licensed in Michigan (4351045634) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Corewell Health Zeeland Hospital, and is a graduate of Michigan State University College Of Human Medicine (2019).

NPPES Registry Identity

NPI1588225692
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMARIAM TAJALLI KHANCredential: MD
Location Address145 MICHIGAN ST NE STE 4400Grand Rapids, MI 49503-2564
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 486-6333
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2019
Enumeration DateJune 28, 2019
Last NPPES UpdateJune 27, 20253 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1588225692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 4351045634
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
145 MICHIGAN ST NE STE 4400, Grand Rapids, MI 49503
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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

Mariam Tajalli 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 ID9931438157
PECOS Enrollment IDI20220111002209
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.

Hospital Affiliations CMS Care Compare 2

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

Corewell Health Zeeland Hospital

Acute Care Hospitals · Zeeland, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230003
Location8333 Felch StZeeland, MI 49464 · Ottawa County
Emergency services Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 12

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

DR. JAYNE ELIZABETH PAULSON M.D.
Surgery
145 MICHIGAN ST NE STE 4400
GRAND RAPIDS, MI 49503
Kent County (616) 486-6333
AMIE MARIE HOP MD
Surgery
145 MICHIGAN ST NE STE 4400
GRAND RAPIDS, MI 49503
Kent County (616) 486-6333
HOLLY BETH MORCOTE PA
Physician Assistant
145 MICHIGAN ST NE STE 4400
GRAND RAPIDS, MI 49503
Kent County (616) 486-6333
JODI LYN CUNNINGHAM FNP
Nurse Practitioner (Family)
145 MICHIGAN ST NE STE 4400
GRAND RAPIDS, MI 49503
Kent County (616) 486-6333
JILL VEENEMAN PA
Physician Assistant
145 MICHIGAN ST NE STE 4400
GRAND RAPIDS, MI 49503
Kent County (616) 486-6333
DR. ERICA LYNN WRUBEL MD
Surgery
145 MICHIGAN ST NE STE 4400
GRAND RAPIDS, MI 49503
Kent County (616) 486-6333
MRS. MEAGHAN LOUISE O'BRIEN PA-C
Physician Assistant
145 MICHIGAN ST NE STE 4400
GRAND RAPIDS, MI 49503
Kent County (616) 486-6333
KELSEY NICOLE KLOOSTERMAN NP
Nurse Practitioner (Gerontology)
145 MICHIGAN ST NE STE 4400
GRAND RAPIDS, MI 49503
Kent County (616) 486-6333

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 Mariam Khan's NPI number?

The NPI number for Mariam Khan is 1588225692. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Mariam Khan located?

Mariam Khan practices at 145 Michigan St NE Ste 4400, Grand Rapids, MI 49503. The listed phone number is (616) 486-6333.

What is Mariam Khan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mariam Khan enrolled in Medicare?

Yes. Mariam 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 Mariam Khan accept?

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

According to CMS data, Mariam Khan is affiliated with Corewell Health Zeeland Hospital and Spectrum Health.

When was this NPI record last updated?

The NPPES record for Mariam Khan was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.