1. Home
  2. Directory
  3. Connecticut
  4. Middletown
  5. Internal Medicine
  6. NPI Profile

MOAZZEM HOSSAIN KHAN M.D.
NPI 1740430545
Internal Medicine in Middletown, CT

Active since September 29, 2008PECOS Enrolled
HAVILAND HALL, 12 JOYCE DRIVE, MIDDLETOWN, CT 06457(860) 262-7026(860) 262-6525 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Moazzem Hossain Khan M.d. NPPES

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

MOAZZEM HOSSAIN KHAN M.D. (NPI 1740430545) is an individual internal medicine provider in Middletown, Connecticut, licensed in Alaska (4933) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740430545
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMOAZZEM HOSSAIN KHANCredential: M.D.
Location AddressHAVILAND HALL, 12 JOYCE DRIVEMiddletown, CT 06457-6407
Mailing AddressHaviland Hall, 12 Joyce DriveMiddletown, CT 06457-1886 · (347) 446-9114 · Fax (860) 262-6525
Phone(860) 262-7026
Fax(860) 262-6525
Sole ProprietorNo
Enumeration DateSeptember 29, 2008
Last NPPES UpdateFebruary 2, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1740430545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in AK · 4933✔ Licensed in CT · 67320
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
HAVILAND HALL, Middletown, CT 06457
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moazzem Hossain Khan M.d. 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 Moazzem Khan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Connecticut
1.6 mi
Psychiatric Hospital
1000 SILVER STREET
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 89 clinicians in this Medicare group
NPI 1245256247 (860) 262-7153

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 06457 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$118.11 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers16 claims16 services$192.90 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Moazzem Khan's NPI number?

The NPI number for Moazzem Khan is 1740430545. It was assigned to this individual provider in the NPPES registry on September 29, 2008.

Where is Moazzem Khan located?

Moazzem Khan practices at Haviland Hall 12 Joyce Drive, Middletown, CT 06457. The listed phone number is (860) 262-7026.

What is Moazzem Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Moazzem Khan enrolled in Medicare?

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

Which organization bills Medicare for Moazzem Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Moazzem Khan reassigns Medicare benefits to State Of Connecticut (Middletown, CT). 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 Moazzem 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 Moazzem Khan was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.