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

Q: 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.

Q: What is Faryal Khan's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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

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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 (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.

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)