MR. TARIK SHARIF KHAN FNP
NPI 1710247416
Nurse Practitioner - Family in Bala Cynwyd, PA

Active since May 29, 2012PECOS Enrolled
401 E CITY AVE, SUITE 820, BALA CYNWYD, PA 19004(202) 669-7482 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Tarik Sharif Khan Fnp NPPES

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

MR. TARIK SHARIF KHAN FNP (NPI 1710247416) is an individual family provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (SP013502) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1710247416
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. TARIK SHARIF KHANCredential: FNP
Location Address401 E CITY AVE, SUITE 820Bala Cynwyd, PA 19004-1122
Mailing Address12 Kings Oak LnPhiladelphia, PA 19115-4009 · (202) 669-7482
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 29, 2012
Last NPPES UpdateJuly 9, 2021
NPPES CertifiedJuly 9, 2021
NPI 1710247416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in PA · SP013502 Licensed in DC · RN1023898
401 E CITY AVE, Bala Cynwyd, PA 19004

Secondary Practice Location 1

Location 14700 Wissahickon Ave Ste 118Philadelphia, PA 19144-4248 · Phone (267) 597-3600 · Fax (267) 597-3622

Other Identifiers 1

Medicaid102945836PA

Accepted 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)

Mr. Tarik Sharif Khan Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002038809
PECOS Enrollment IDI20141111001936
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 19004 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 2

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

Specialist
401 E CITY AVE
BALA CYNWYD, PA 19004
Internal Medicine
401 E CITY AVE, SUITE 820
BALA CYNWYD, PA 19004

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 Tarik Khan's NPI number?

The NPI number for Tarik Khan is 1710247416. It was assigned to this individual provider in the NPPES registry on May 29, 2012.

Where is Tarik Khan located?

Tarik Khan practices at 401 E City Ave Suite 820, Bala Cynwyd, PA 19004. The listed phone number is (202) 669-7482.

What is Tarik Khan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tarik Khan enrolled in Medicare?

Yes. Tarik Khan is registered in the Medicare PECOS enrollment system.

What insurance does Tarik Khan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Tarik 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.

When was this NPI record last updated?

The NPPES record for Tarik Khan was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.