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FARYAL KHAN MD
NPI 1811557556
Family Medicine - Addiction Medicine in Fort Wayne, IN

Active since June 14, 2019PECOS Enrolled
3910 LIMA RD, FORT WAYNE, IN 46805(260) 420-6010 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 15, 2023, Apr 8, 2022, Jun 14, 2019 (3 updates tracked since 2019).

About Faryal Khan Md NPPES

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

FARYAL KHAN MD (NPI 1811557556) is an individual addiction medicine provider in Fort Wayne, Indiana, licensed in Indiana (01091378A) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811557556
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameFARYAL KHANCredential: MD
Location Address3910 LIMA RDFort Wayne, IN 46805-1031
Mailing Address3910 Lima RdFort Wayne, IN 46805-1031 · (260) 420-6010
Phone(260) 420-6010
Sole ProprietorNo
Enumeration DateJune 14, 2019
Last NPPES UpdateDecember 15, 20233 updates tracked since enumeration
NPPES CertifiedDecember 15, 2023
✔ NPI 1811557556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in IN · 01091378A
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
3910 LIMA RD, Fort Wayne, IN 46805
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)

Faryal 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 Reassignments

2

Medicare enrollment records show Faryal Khan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bhg Lxvii, LLC
Same address
Multi-Specialty
3910 LIMA ROAD, OBOT ROOM 100
Fort Wayne, IN 46805
  • Reassigned Medicare billing, Indiana enrollment
  • 2 clinicians in this Medicare group
NPI 1275316697 (260) 420-6010
Bhg Lviii, LLC
200 mi
Addiction Medicine
1402 BROWNS LANE, SUITE A, OBOT ROOM 100
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 27 clinicians in this Medicare group
NPI 1710727367 (502) 894-0234

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 46805 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTER FOR BEHAVIORAL HEALTH INDIANA LLC
Clinic/Center (Methadone)
3910 LIMA RD
FORT WAYNE, IN 46805
Allen County (260) 420-6010
VICKI LYNN STEPHENSON
Counselor (Addiction (Substance Use Disorder))
3910 LIMA RD
FORT WAYNE, IN 46805
Allen County (260) 420-6010
SOMASUNDERAM PADMALINGAM MD
Family Medicine
3910 LIMA RD
FORT WAYNE, IN 46805
Allen County (260) 420-6040
BREANNA L PARKER
Counselor (Addiction (Substance Use Disorder))
3910 LIMA RD
FORT WAYNE, IN 46805
Allen County (260) 420-6010
KATHRYN AUER
Counselor (Addiction (Substance Use Disorder))
3910 LIMA RD
FORT WAYNE, IN 46805
Allen County (260) 420-6010
BRITNI ALYSE SNYDER BS, MATS, CADACII
Counselor (Addiction (Substance Use Disorder))
3910 LIMA RD
FORT WAYNE, IN 46805
Allen County (260) 420-6010
SARAH SIMS BSW, ACITII, MATS
Counselor (Addiction (Substance Use Disorder))
3910 LIMA RD
FORT WAYNE, IN 46805
Allen County (260) 420-6010
EVAN LINEHAN
Counselor (Addiction (Substance Use Disorder))
3910 LIMA RD
FORT WAYNE, IN 46805
Allen County (260) 420-6010

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 Faryal Khan's NPI number?

The NPI number for Faryal Khan is 1811557556. It was assigned to this individual provider in the NPPES registry on June 14, 2019.

Where is Faryal Khan located?

Faryal Khan practices at 3910 Lima Rd, Fort Wayne, IN 46805. The listed phone number is (260) 420-6010.

What is Faryal Khan's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Faryal Khan enrolled in Medicare?

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

Which organizations bill Medicare for Faryal Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Faryal Khan reassigns Medicare benefits to 2 organizations: Bhg Lxvii, LLC (Fort Wayne, IN) and Bhg Lviii, LLC (Louisville, KY). 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 Faryal 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 Faryal Khan was last updated on December 15, 2023. 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.