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ALISA KHAN MD
NPI 1720212715
Pediatrics in Boston, MA

Active since May 06, 2009PECOS Enrolled
300 LONGWOOD AVE, AU-521, CHILDREN'S HOSPITAL BOSTON, HARVARD PEDIATRIC HEALTH SERVICES RESEARCH FELLOWSHIP, BOSTON, MA 02115(617) 355-8298(617) 730-0174 Get Directions Write a Review

NPPES record last updated: July 6, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Alisa Khan Md NPPES

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

ALISA KHAN MD (NPI 1720212715) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (250817) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720212715
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALISA KHANCredential: MD
Location Address300 LONGWOOD AVE, AU-521, CHILDREN'S HOSPITAL BOSTON, HARVARD PEDIATRIC HEALTH SERVICES RESEARCH FELLOWSHIPBoston, MA 02115-5724
Mailing Address303 Third St, #615Cambridge, MA 02142-1156 · (410) 736-3399
Phone(617) 355-8298
Fax(617) 730-0174
Sole ProprietorNo
Enumeration DateMay 6, 2009
Last NPPES UpdateJuly 6, 2012
✔ NPI 1720212715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 250817
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
300 LONGWOOD AVE, AU-521, CHILDREN'S HOSPITAL BOSTON, Boston, MA 02115
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alisa 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.

Medicare Billing Reassignment

Medicare enrollment records show Alisa Khan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Pediatric Associates, Inc
Same address
Pediatrics
300 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,358 clinicians in this Medicare group
NPI 1457306664 (617) 355-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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 Alisa Khan's NPI number?

The NPI number for Alisa Khan is 1720212715. It was assigned to this individual provider in the NPPES registry on May 6, 2009.

Where is Alisa Khan located?

Alisa Khan practices at 300 Longwood Ave, Au-521, Children's Hospital Boston Harvard Pediatric Health Services Research Fellowship, Boston, MA 02115. The listed phone number is (617) 355-8298.

What is Alisa Khan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alisa Khan enrolled in Medicare?

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

Which organization bills Medicare for Alisa Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Khan reassigns Medicare benefits to Children's Hospital Pediatric Associates, Inc (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alisa Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alisa Khan was last updated on July 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.