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MARYAM KHAN
NPI 1891375333
Internal Medicine - Infectious Disease in Detroit, MI

Active since April 09, 2021PECOS Enrolled
3990 JOHN R ST, DETROIT, MI 48201(313) 745-8040 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2024, Apr 9, 2021 (2 updates tracked since 2021).

About Maryam Khan NPPES

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

MARYAM KHAN (NPI 1891375333) is an individual infectious disease provider in Detroit, Michigan, licensed in Michigan (4351053601) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in East Meadow.

NPPES Registry Identity

NPI1891375333
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameMARYAM KHAN
Location Address3990 JOHN R STDetroit, MI 48201-2018
Mailing Address3990 John R StDetroit, MI 48201-2018 · (313) 745-8040
Phone(313) 745-8040
Sole ProprietorNo
Enumeration DateApril 9, 2021
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1891375333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in MI · 4351053601
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3990 JOHN R ST, Detroit, MI 48201
Open in Google Maps ↗

Secondary Practice Location 1

Location 12201 Hempstead TpkeEast Meadow, NY 11554-1859 · Phone (516) 572-6501

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryam Khan 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 48201 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 20

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

KIMBERLY DAWN HARRIS CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-8521
CAROLINE L TALBERT CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7600
CHISAOKWU DURU
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7233
MR. MOHAMED IBRAHIM BAZZI
Occupational Therapist
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (810) 333-1822
DR. SAMIR F FULEIHAN M.D.
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-8521
DR. KAMAL K NANGIA
Emergency Medicine
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-8040
TODD E HAMILTON CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7600
MITCHELL R BRADLEY CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7600

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 Maryam Khan's NPI number?

The NPI number for Maryam Khan is 1891375333. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Maryam Khan located?

Maryam Khan practices at 3990 John R St, Detroit, MI 48201. The listed phone number is (313) 745-8040.

What is Maryam Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Maryam Khan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Maryam Khan was last updated on June 20, 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.