MARYAM ANSAR KHAN MD
NPI 1659160836
Family Medicine in Waterloo, IA

Q: What is Maryam Khan's NPI number?

The NPI number for Maryam Khan is 1659160836. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Q: What is Maryam 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 Maryam Khan was last updated on May 5, 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.

Active since May 05, 2025PECOS Enrolled

2055 KIMBALL AVE STE 101, WATERLOO, IA 50702(319) 272-2112 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Maryam Ansar Khan Md NPPES

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

MARYAM ANSAR KHAN MD (NPI 1659160836) is an individual family medicine provider in Waterloo, Iowa, licensed in Iowa (R-13403) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659160836

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARYAM ANSAR KHANCredential: MD

Location Address2055 KIMBALL AVE STE 101Waterloo, IA 50702-5047

Mailing Address2375 E 104th Ave Unit 7201Thornton, CO 80233-4509 · (254) 444-3852

Phone(319) 272-2112

Sole ProprietorNo

Enumeration DateMay 5, 2025

NPPES CertifiedApril 11, 2025

✔ NPI 1659160836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · R-13403

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.

2055 KIMBALL AVE STE 101, Waterloo, IA 50702

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryam Ansar 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

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.

KURTIS ALAN LUCAS MD

Family Medicine