MINA S KHAN (MD) – Family Medicine Physician, NPI 1215095559

MINA S KHAN (MD) is a healthcare provider. based in Clay, Alabama. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 24841 (AL). The NPI Number for MINA S KHAN (MD) is 1215095559

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
MINA S KHAN (MD)
NPI
1215095559
Phone
(205) 979-5882
Address
PO BOX 389
Enumeration Date
5 December 2006
Last Update Date
5 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
3577565654
Group Practice PAC ID
2860494945
Professional Enrollment ID
I20070202000234
Address ID
AL351212100ON101XXAXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,754 FAMILY PRACTICE in AL

Provider Addresses for MINA S KHAN (MD)

  • PO BOX 389

    CLAY, AL 350480389

    Phone: (205) 979-5882

    Fax: (205) 979-1248

    Type: Mailing

  • 101 LEMLEY DR STE A

    ONEONTA, AL 351212100

    Phone: (205) 625-3561

    Fax: (205) 274-9638

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $337.

Total Amount is formed as General ($337) + Research ($0) + Ownership ($0) = $337.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Lilly USA, LLC ($82).

Total Amount

$337

General + Research + Ownership

Payments

19

Total payment records

General Amount

$337

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070202000234IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes22794$0
99497Advance care planning, first 30 minutes6969$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6262$0
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes6262$0
36415Insertion of needle into vein for collection of blood sample3730$0
View full utilization report →

Insurance plans in this area (ZIP 35048)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860494945View full group profile
NameSpecialtyState
Nurse PractitionerAL
Internal MedicineAL

Reviews

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Frequently asked questions

What is the standard ID for MINA S KHAN (MD) in the U.S.?
In the U.S., MINA S KHAN (MD) is identified by NPI 1215095559.
Is MINA S KHAN (MD) currently accepting referrals based on NPI status?
Registry metadata lists MINA S KHAN (MD) as active.
What services align with MINA S KHAN (MD)'s listing?
MINA S KHAN (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MINA S KHAN (MD) tied to Clay, Alabama?
If you are local to Clay, Alabama, MINA S KHAN (MD) may be relevant to your search.
Who maintains MINA S KHAN (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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