MARIUM KHAN M.D., MPH
NPI 1922539493
Internal Medicine - Pulmonary Disease in Sheboygan, WI

Active since March 25, 2017PECOS EnrolledAccepts Medicare Assignment
3400 UNION AVE, SHEBOYGAN, WI 53081(920) 802-2100(920) 802-1500 Get Directions Write a Review

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

Record update history: Aug 20, 2024, Aug 5, 2024, Apr 6, 2021 and 2 more (5 updates tracked since 2017).

About Marium Khan M.d., Mph NPPES

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

MARIUM KHAN M.D., MPH (NPI 1922539493) is an individual pulmonary disease provider in Sheboygan, Wisconsin, licensed in Wisconsin (70086) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922539493
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameMARIUM KHANCredential: M.D., MPH
Location Address3400 UNION AVESheboygan, WI 53081-8426
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Fax(920) 802-1500
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 25, 2017
Last NPPES UpdateAugust 20, 20245 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
NPI 1922539493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in WI · 70086
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 70086 (WI)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 70086 (WI)
3400 UNION AVE, Sheboygan, WI 53081

Secondary Practice Locations 2

Location 19200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-6850 · Fax (414) 805-6851
Location 28701 W Watertown Plank RdMilwaukee, WI 53226-3548 · Phone (414) 805-0532

Other Identifiers 2

Medicaid1922539493WI
Medicaid100082372WI

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 and accepts Medicare assignment

Marium Khan M.d., Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971843285
PECOS Enrollment IDI20200529002521
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
62 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520035
Location3400 Union AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Nurse Practitioner
3400 UNION AVE
SHEBOYGAN, WI 53081
Obstetrics & Gynecology
3400 UNION AVE
SHEBOYGAN, WI 53081
Nurse Practitioner (Family)
3400 UNION AVE
SHEBOYGAN, WI 53081
Physician Assistant
3400 UNION AVE
SHEBOYGAN, WI 53081
Hospitalist
3400 UNION AVE
SHEBOYGAN, WI 53081
Hospitalist
3400 UNION AVE
SHEBOYGAN, WI 53081
Emergency Medicine
3400 UNION AVE
SHEBOYGAN, WI 53081
Internal Medicine (Pulmonary Disease)
3400 UNION AVE
SHEBOYGAN, WI 53081

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 Marium Khan's NPI number?

The NPI number for Marium Khan is 1922539493. It was assigned to this individual provider in the NPPES registry on March 25, 2017.

Where is Marium Khan located?

Marium Khan practices at 3400 Union Ave, Sheboygan, WI 53081. The listed phone number is (920) 802-2100.

What is Marium Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Marium Khan enrolled in Medicare?

Yes. Marium Khan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marium Khan accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Quartz and UnitedHealthcare list Marium 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 Marium Khan affiliated with any hospitals?

According to CMS data, Marium Khan is affiliated with Aurora Health Care Central Inc and Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Marium Khan was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.