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MOHAMMED ABDUL RAHMAN KHAN DDS MD
NPI 1912009630
Oral & Maxillofacial Surgery in Canonsburg, PA

Active since September 02, 2006PECOS Enrolled
1200 ASHWOOD DR STE 1204, CANONSBURG, PA 15317(724) 745-3333(724) 745-3335 Get Directions Write a Review

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

About Mohammed Abdul Rahman Khan Dds Md NPPES

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

MOHAMMED ABDUL RAHMAN KHAN DDS MD (NPI 1912009630) is an individual oral & maxillofacial surgery provider in Canonsburg, Pennsylvania, licensed in Pennsylvania (DS029596L) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912009630
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameMOHAMMED ABDUL RAHMAN KHANCredential: DDS MD
Location Address1200 ASHWOOD DR STE 1204Canonsburg, PA 15317-4982
Mailing Address1200 Ashwood Dr Ste 1204Canonsburg, PA 15317-4982 · (724) 745-3333 · Fax (724) 745-3335
Phone(724) 745-3333
Fax(724) 745-3335
Sole ProprietorNo
Enumeration DateSeptember 2, 2006
Last NPPES UpdateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1912009630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in PA · DS029596L
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1200 ASHWOOD DR STE 1204, Canonsburg, PA 15317
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammed Abdul Rahman Khan Dds 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 Reassignment

Medicare enrollment records show Mohammed Abdul Khan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Quad County Oral & Maxillofacial Surgery
44 mi
Oral & Maxillofacial Surgery
114 EAST DIMOND ST
Butler, PA 16001
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 5 clinicians in this Medicare group
NPI 1033283841 (724) 282-6100

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

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 Mohammed Abdul Khan's NPI number?

The NPI number for Mohammed Abdul Khan is 1912009630. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Mohammed Abdul Khan located?

Mohammed Abdul Khan practices at 1200 Ashwood Dr Ste 1204, Canonsburg, PA 15317. The listed phone number is (724) 745-3333.

What is Mohammed Abdul Khan's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Mohammed Abdul Khan enrolled in Medicare?

Yes. Mohammed Abdul Khan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mohammed Abdul Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammed Abdul Khan reassigns Medicare benefits to Quad County Oral & Maxillofacial Surgery (Butler, PA). The 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 Mohammed Abdul Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammed Abdul Khan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Mohammed Abdul 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.

When was this NPI record last updated?

The NPPES record for Mohammed Abdul Khan was last updated on April 25, 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.