ABDUL RAB KHAN (MD) – General Practice Physician, NPI 1063400380

ABDUL RAB KHAN (MD) is a healthcare provider. based in Los angeles, California. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A53877 (CA). The NPI Number for ABDUL RAB KHAN (MD) is 1063400380

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
ABDUL RAB KHAN (MD)
NPI
1063400380
Phone
(213) 483-8400
Address
2105 BEVERLY BLVD
Enumeration Date
11 October 2005
Last Update Date
21 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2138526006
Graduation Year
1985 (41 years ago)
PAC ID
5496788036
Professional Enrollment ID
I20050914001132
Address ID
CA913164142EN17071BLVD302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,404 NEPHROLOGY in CA

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Provider Addresses for ABDUL RAB KHAN (MD)

  • Beverly Boulevard, Westlake, Los Angeles, Los Angeles County, California, 90057, United States

    SUITE 231

    LOS ANGELES, CA 900572216

    Phone: (213) 483-8400

    Fax: (213) 483-8445

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $219.

Total Amount is formed as General ($219) + Research ($0) + Ownership ($0) = $219.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($140).

Total Amount

$219

General + Research + Ownership

Payments

10

Total payment records

General Amount

$219

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2005-09-14

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
I20050914001132INephrologyCATBD

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
G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow4,363936$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes2,175874$0
99473Education and training to self measure blood pressure1,466742$0
99497Advance care planning, first 30 minutes1,173865$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and807660$0
View full utilization report →

Insurance plans in this area (ZIP 90057)

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Reviews

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Frequently asked questions

What federal number belongs to ABDUL RAB KHAN (MD)?
The federal identifier for ABDUL RAB KHAN (MD) is NPI 1063400380.
Is ABDUL RAB KHAN (MD) active in the national directory?
ABDUL RAB KHAN (MD)'s public NPI profile is in an active state.
What kind of provider is ABDUL RAB KHAN (MD)?
The page reflects General Practice Physician for ABDUL RAB KHAN (MD). Clinical services aligned with this taxonomy classification.
What location shows for ABDUL RAB KHAN (MD)?
We surface Los Angeles, California for ABDUL RAB KHAN (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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