SHANNON KHATTAK PA-C
NPI 1639751142
Physician Assistant in Lone Tree, CO

Q: What is Shannon Khattak's NPI number?

The NPI number for Shannon Khattak is 1639751142. It was assigned to this individual provider in the NPPES registry on April 23, 2021. The provider is also known as Shannon Oliver Pa-C.

Q: What is Shannon Khattak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Khattak was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 23, 2021PECOS EnrolledAccepts Medicare Assignment

10375 PARK MEADOWS DR STE 270, LONE TREE, CO 80124(720) 749-5599(720) 925-5897 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 11, 2023, Aug 30, 2022, Apr 23, 2021 (3 updates tracked since 2021).

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About Shannon Khattak Pa-c NPPES

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

SHANNON KHATTAK PA-C (NPI 1639751142) is an individual physician assistant in Lone Tree, Colorado, licensed in Colorado (PA.0007435) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639751142

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHANNON KHATTAKCredential: PA-C

Location Address10375 PARK MEADOWS DR STE 270Lone Tree, CO 80124-6760

Mailing Address5445 Dtc Pkwy Ste 1130Greenwood Village, CO 80111-3038 · (720) 749-5599 · Fax (720) 925-5897

Phone(720) 749-5599

Fax(720) 925-5897

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateApril 23, 2021

Last NPPES UpdateMarch 12, 20243 updates tracked since enumeration

NPPES CertifiedMarch 12, 2024

✔ NPI 1639751142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CO · PA.0007435

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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

10375 PARK MEADOWS DR STE 270, Lone Tree, CO 80124

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Other Names 1

Former Name (1)Shannon Oliver Pa-c

Secondary Practice Location 1

Location 19888 E Vassar Dr Apt B106Denver, CO 80231-5902 · Phone (719) 472-4816

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Shannon Khattak Pa-c 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 ID5991180549

PECOS Enrollment IDI20220916002669

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.

Areas of Expertise CMS Part B claims 4

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.

129 services40 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.

30 services14 patients

Injection, clonidine hydrochloride, 1 mg J0735

Clonidine hydrochloride is a medication given via injection. It's commonly used to manage high blood pressure. The 1 mg dosage refers to the amount of the active drug in the injection. Side effects may include dry mouth, drowsiness, or dizziness.

17 services12 patients

Injection of trigger points, 1-2 muscles 20552

Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80124 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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 14

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

MRS. NICOLE MARIE BAILEY PA-C

Physician Assistant