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DR. MADIHA IQBAL KHAN M.D.
NPI 1710159488
Internal Medicine - Endocrinology, Diabetes & Metabolism in Canton, GA

Active since April 02, 2008PECOS EnrolledAccepts Medicare Assignment
98.5/100
CMS Quality Rating
15 REINHARDT COLLEGE PKWY, SUITE 109, CANTON, GA 30114(770) 213-2520(770) 213-2524 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2019, Jul 15, 2019 (2 updates tracked since 2019).

About Dr. Madiha Iqbal Khan M.d. NPPES

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

DR. MADIHA IQBAL KHAN M.D. (NPI 1710159488) is an individual endocrinology, diabetes & metabolism provider in Canton, Georgia, licensed in Georgia (079730) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1710159488
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. MADIHA IQBAL KHANCredential: M.D.
Location Address15 REINHARDT COLLEGE PKWY, SUITE 109Canton, GA 30114
Mailing Address15 Reinhardt College Pkwy, Suite 109Canton, GA 30114 · (770) 213-2520 · Fax (770) 213-2524
Phone(770) 213-2520
Fax(770) 213-2524
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 2, 2008
Last NPPES UpdateDecember 18, 20192 updates tracked since enumeration
✔ NPI 1710159488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in GA · 079730✔ Licensed in TX · BP10040924
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
15 REINHARDT COLLEGE PKWY, Canton, GA 30114
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, 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

Dr. Madiha Iqbal Khan M.d. 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 ID8325275522
PECOS Enrollment IDI20190719001203
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 7

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.
718 services441 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
377 services292 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
333 services165 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
307 services202 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
147 services147 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.
69 services62 patients

Hospital Affiliations CMS Care Compare 5

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Piedmont Cartersville Medical Center

Acute Care Hospitals · Cartersville, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110030
Location960 Joe Frank Harris ParkwayCartersville, GA 30120 · Bartow County
Emergency services Birthing friendly

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30114 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers27 claims390 services$18.15 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers30 claims960 services$2.28 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers26 claims114 services$6.14 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers16 claims29 services$1.02 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers30 claims30 services$322.69 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
6 suppliers17 claims1,640 services$7.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

DR. KIRK B LAMAN DO
Internal Medicine (Cardiovascular Disease)
15 REINHARDT COLLEGE PKWY, SUITE 110
CANTON, GA 30114
Cherokee County (770) 720-2383
DR. EDWARD DYCKMAN MD
Internal Medicine (Cardiovascular Disease)
15 REINHARDT COLLEGE PKWY, SUITE 110
CANTON, GA 30114
Cherokee County (770) 723-2383
ANITRA SIMONE GRAVES M.D.
Internal Medicine (Pulmonary Disease)
15 REINHARDT COLLEGE PKWY, SUITE 108
CANTON, GA 30114
Cherokee County (678) 493-2527
CHEROKEE LUNG & SLEEP SPECIALISTS, P.C.
Internal Medicine (Pulmonary Disease)
15 REINHARDT COLLEGE PKWY, SUITE 108
CANTON, GA 30114
Cherokee County (678) 493-2527
KHIZER KHURSHID AHMAD MD
Pediatrics
15 REINHARDT COLLEGE PKWY, BLDG 100 SUITE 100
CANTON, GA 30114
Cherokee County (770) 479-1985
SHELDON SCOTT
Physical Therapist
15 REINHARDT COLLEGE PKWY, SUITE 102
CANTON, GA 30114
Cherokee County (678) 505-4450
NORTHWEST GEORGIA ONCOLOGY CENTERS, PC
Durable Medical Equipment & Medical Supplies
15 REINHARDT COLLEGE PKWY, SUITE 110
CANTON, GA 30114
Cherokee County (770) 720-7789

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 Madiha Khan's NPI number?

The NPI number for Madiha Khan is 1710159488. It was assigned to this individual provider in the NPPES registry on April 2, 2008.

Where is Madiha Khan located?

Madiha Khan practices at 15 Reinhardt College Pkwy Suite 109, Canton, GA 30114. The listed phone number is (770) 213-2520.

What is Madiha Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Madiha Khan enrolled in Medicare?

Yes. Madiha 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 Madiha Khan accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Madiha 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 Madiha Khan affiliated with any hospitals?

According to CMS data, Madiha Khan is affiliated with Northside Hospital Cherokee, Piedmont Cartersville Medical Center, Union General Hospital, Piedmont Hospital and Piedmont Mountainside Hospital Inc.

When was this NPI record last updated?

The NPPES record for Madiha Khan was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.