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

DR. KATHLEEN RENEE KHAN MD
NPI 1649806639
Student in an Organized Health Care Education/Training Program in Bend, OR

Q: What is Kathleen Khan's NPI number?

The NPI number for Kathleen Khan is 1649806639. It was assigned to this individual provider in the NPPES registry on March 21, 2020.

Q: What is Kathleen Khan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Khan was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since March 21, 2020PECOS Enrolled

2500 NE NEFF RD, BEND, OR 97701(541) 388-4333(541) 388-3446 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2026, May 12, 2026, Mar 19, 2023 and 1 more (4 updates tracked since 2020).

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About Dr. Kathleen Renee Khan Md NPPES

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

DR. KATHLEEN RENEE KHAN MD (NPI 1649806639) is an individual student in an organized health care education/training program in Bend, Oregon and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1649806639

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. KATHLEEN RENEE KHANCredential: MD

Location Address2500 NE NEFF RDBend, OR 97701-6015

Mailing Address1959 Ne Pacific StSeattle, WA 98195-0001 · (206) 598-3300

Phone(541) 388-4333

Fax(541) 388-3446

Sole ProprietorNo

Enumeration DateMarch 21, 2020

Last NPPES UpdateOctober 2, 20264 updates tracked since enumeration

NPPES CertifiedOctober 2, 2026

✔ NPI 1649806639 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

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.

2500 NE NEFF RD, Bend, OR 97701

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Secondary Practice Location 1

Location 11959 NE Pacific StSeattle, WA 98195-0001 · Phone (206) 598-3300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathleen Renee 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.

ALANNA MOZENA MD

Internal Medicine