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

HUSSAM AHMED KHAN MD
NPI 1700590627
Hospitalist in Hattiesburg, MS

Q: What is Hussam Khan's NPI number?

The NPI number for Hussam Khan is 1700590627. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Q: What is Hussam Khan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Hussam Khan was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 06, 2023PECOS Enrolled

415 S 28TH AVE, HATTIESBURG, MS 39401(601) 288-4329(601) 288-3191 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 30, 2026, Jan 6, 2023 (2 updates tracked since 2023).

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About Hussam Ahmed Khan Md NPPES

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

HUSSAM AHMED KHAN MD (NPI 1700590627) is an individual hospitalist provider in Hattiesburg, Mississippi, licensed in Mississippi (37859) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1700590627

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameHUSSAM AHMED KHANCredential: MD

Location Address415 S 28TH AVEHattiesburg, MS 39401-7246

Mailing Address1545 Atlantic AveBrooklyn, NY 11213-1122 · (646) 457-6496

Phone(601) 288-4329

Fax(601) 288-3191

Sole ProprietorYes

Enumeration DateJanuary 6, 2023

Last NPPES UpdateSeptember 30, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2026

✔ NPI 1700590627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in MS · 37859

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

415 S 28TH AVE, Hattiesburg, MS 39401

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Secondary Practice Location 1

Location 11545 Atlantic AveBrooklyn, NY 11213-1122 · Phone (646) 457-6496

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hussam Ahmed 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 39401 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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