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MADIHA BATOOL KHAN MD
NPI 1720648074
Family Medicine in Antioch, CA

Active since June 18, 2019PECOS EnrolledAccepts Medicare Assignment
3400 DELTA FAIR BLVD, ANTIOCH, CA 94509(925) 779-5000 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2022, Jun 18, 2019 (2 updates tracked since 2019).

About Madiha Batool Khan Md NPPES

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

MADIHA BATOOL KHAN MD (NPI 1720648074) is an individual family medicine provider in Antioch, California, licensed in California (180281) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1720648074
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMADIHA BATOOL KHANCredential: MD
Location Address3400 DELTA FAIR BLVDAntioch, CA 94509-4004
Mailing Address1240 Verde CtBrentwood, CA 94513-1439 · (916) 844-5003
Phone(925) 779-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 18, 2019
Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration
NPPES CertifiedAugust 14, 2022
✔ NPI 1720648074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 180281
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.
3400 DELTA FAIR BLVD, Antioch, CA 94509
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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 and accepts Medicare assignment

Madiha Batool Khan Md 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 ID2264809771
PECOS Enrollment IDI20221111001390
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 94509 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

MATTHEW ROBERT WHITE PT
Physical Therapist
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5442
ROSETTA C. NEWHALL MD
Pediatrics
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
DR. SANAZ STACY ABOUTALEBI-SIMON O.D.
Optometrist (Corneal and Contact Management)
3400 DELTA FAIR BLVD, THE PERMANENTE MEDICAL GROUP, INC.
ANTIOCH, CA 94509
Contra Costa County (925) 779-5223
RAJ V. DASARI MD
Emergency Medicine
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
DR. ATHENA PANZAR PSY.D.
Counselor (Mental Health)
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5090
AL G. SUMAQUIAL MD
Internal Medicine
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
BERNABE FLORO URBANO JR. MD
Pediatrics
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
DR. PHILIP SONG M.D.
Dermatology
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 817-5600

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 1720648074. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Madiha Khan located?

Madiha Khan practices at 3400 Delta Fair Blvd, Antioch, CA 94509. The listed phone number is (925) 779-5000.

What is Madiha Khan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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.

When was this NPI record last updated?

The NPPES record for Madiha Khan was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.