SIDDIQA K KHAN MD
NPI 1740289180
Family Medicine in Jacksonville, FL

Q: What is Siddiqa Khan's NPI number?

The NPI number for Siddiqa Khan is 1740289180. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Q: What is Siddiqa Khan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Siddiqa Khan was last updated on April 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 19, 2005PECOS Enrolled

1833 BOULEVARD, VA OUTPATIENT CLINIC, JACKSONVILLE, FL 32206(904) 232-2751(904) 301-2502 Get Directions Write a Review

NPPES record last updated: April 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Siddiqa K Khan Md NPPES

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

SIDDIQA K KHAN MD (NPI 1740289180) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (90990) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740289180

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSIDDIQA K KHANCredential: MD

Location Address1833 BOULEVARD, VA OUTPATIENT CLINICJacksonville, FL 32206-4382

Mailing Address1833 Boulevard, Jaclsonville Va Outpatient ClinicJacksonville, FL 32206-4382 · (904) 232-2751 · Fax (904) 301-2502

Phone(904) 232-2751

Fax(904) 301-2502

Sole ProprietorNo

Enumeration DateJuly 19, 2005

Last NPPES UpdateApril 7, 2011

✔ NPI 1740289180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · 90990

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.

1833 BOULEVARD, Jacksonville, FL 32206

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Other Identifiers 6

Other392117FL · Healthease

Other3164176FL · Cigna

Medicare UPINI33233FL

Medicaid2785404-00FL

Other298827FL · Av Med

Other2064269FL · First Coast Advantage

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Siddiqa K 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 32206 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.