MAMOONA HAMEED KHAN
NPI 1902411259
Nurse Practitioner - Psychiatric/Mental Health in Canton, MI
About Mamoona Hameed Khan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAMOONA HAMEED KHAN (NPI 1902411259) is an individual psychiatric/mental health provider in Canton, Michigan, licensed in Texas (1075815) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Huntsville Memorial Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mamoona Hameed Khan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Huntsville Memorial Hospital
Acute Care Hospitals · Huntsville, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CANTON, MI 48188
CANTON, MI 48188
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 Mamoona Khan's NPI number?
The NPI number for Mamoona Khan is 1902411259. It was assigned to this individual provider in the NPPES registry on September 14, 2020.
Where is Mamoona Khan located?
Mamoona Khan practices at 43825 Michigan Ave, Canton, MI 48188. The listed phone number is (734) 397-3088.
What is Mamoona Khan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mamoona Khan enrolled in Medicare?
Yes. Mamoona Khan is registered in the Medicare PECOS enrollment system.
What insurance does Mamoona Khan accept?
Health plans from Oscar Insurance Company and UnitedHealthcare list Mamoona 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 Mamoona Khan affiliated with any hospitals?
According to CMS data, Mamoona Khan is affiliated with Huntsville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Mamoona Khan was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Mamoona Hameed Khan · NPI 1902411259
Psychiatric/Mental Health physician in Canton, Michigan. Individual provider, active in the CMS NPPES registry since September 14, 2020.
## Identity
- **NPI:** 1902411259 (Entity type: Individual)
- **Enumerated:** September 14, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 1075815 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 43825 MICHIGAN AVE, Canton, MI 48188-2551
- **Phone:** (734) 397-3088
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 1, 2025
- **Other identifiers:** Medicaid 0000000 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1902411259) · Data from the CMS NPPES public registry.