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DR. MADIHA K KHAN MD
NPI 1811127053
Hospitalist in Seattle, WA

Active since July 22, 2009PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
747 BROADWAY STE 600, SEATTLE, WA 98122(206) 215-2520(206) 386-3180 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Madiha K Khan Md NPPES

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

DR. MADIHA K KHAN MD (NPI 1811127053) is an individual hospitalist provider in Seattle, Washington, licensed in Washington (MD60278176) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1811127053
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. MADIHA K KHANCredential: MD
Location Address747 BROADWAY STE 600Seattle, WA 98122-4379
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Phone(206) 215-2520
Fax(206) 386-3180
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 22, 2009
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1811127053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WA · MD60278176
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD60278176 (WA)
747 BROADWAY STE 600, Seattle, WA 98122
Open in Google Maps ↗

Other Identifiers 1

Medicaid1811127053WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Madiha K 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 ID6709036189
PECOS Enrollment IDI20121019000426
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 Reassignments

3

Medicare enrollment records show Madiha Khan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Swedish Health Services
0.5 mi
Internal Medicine
800 5TH AVE, STE 600
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 1,270 clinicians in this Medicare group
NPI 1689612954 (206) 320-2700
South Sound Inpatient Physicians PLLC
2.7 mi
Skilled Nursing Facility
2717 DEXTER AVE, QUEEN ANNE HEALTHCARE
Seattle, WA 98109
  • Reassigned Medicare billing, Washington enrollment
  • 915 clinicians in this Medicare group
NPI 1699917369 (206) 284-7012
Rainier Internal Medicine LLC
31 mi
Primary Care
9720 S TACOMA WAY
Lakewood, WA 98499
  • Reassigned Medicare billing, Washington enrollment
  • 11 clinicians in this Medicare group
NPI 1972735157 (253) 503-3666

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
70 services48 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
58 services40 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
48 services47 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
34 services34 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500152
Location751 NE Blakely DrIssaquah, WA 98029 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98122 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%43 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 1811127053. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Where is Madiha Khan located?

Madiha Khan practices at 747 Broadway Ste 600, Seattle, WA 98122. The listed phone number is (206) 215-2520.

What is Madiha Khan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

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.

Which organizations bill Medicare for Madiha Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madiha Khan reassigns Medicare benefits to 3 organizations: Swedish Health Services (Seattle, WA), South Sound Inpatient Physicians PLLC (Seattle, WA) and Rainier Internal Medicine LLC (Lakewood, WA). Each 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 Madiha Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madiha Khan accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Madiha 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.

Is Madiha Khan affiliated with any hospitals?

According to CMS data, Madiha Khan is affiliated with Swedish Medical Center and Swedish Issaquah.

When was this NPI record last updated?

The NPPES record for Madiha Khan was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.