DR. MUTAHIR UBAID KHAN (M.D.) – Cardiovascular Disease Physician, NPI 1164734489

DR. MUTAHIR UBAID KHAN (M.D.) is a healthcare provider. based in Modesto, California. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A112898 (CA). The NPI Number for DR. MUTAHIR UBAID KHAN (M.D.) is 1164734489

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. MUTAHIR UBAID KHAN (M.D.)
NPI
1164734489
Phone
(209) 522-9863
Address
1401 SPANOS CT
Enumeration Date
2 July 2010
Last Update Date
2 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2095219661
Graduation Year
1999 (27 years ago)
PAC ID
1254456056
Group Practice PAC ID
2264468008
Professional Enrollment ID
I20100916001240
Address ID
CA953551339MO3621XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,010 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CA

Provider Addresses for DR. MUTAHIR UBAID KHAN (M.D.)

  • 1401 SPANOS CT

    SUITE 230

    MODESTO, CA 953552810

    Phone: (209) 522-9863

    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 40 Open Payments records for all available years, with a total value of $936.

Total Amount is formed as General ($936) + Research ($0) + Ownership ($0) = $936.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Abbott Laboratories ($383).

Total Amount

$936

General + Research + Ownership

Payments

40

Total payment records

General Amount

$936

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-09-16

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
I20100916001240ICardiovascular Disease (Cardiology)CATBD

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 minutes651405$0
J2785Injection, regadenoson, 0.1 mg408102$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function367362$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report292279$0
78452Nuclear medicine studies of heart muscle at rest and with stress and spect288273$0
View full utilization report →

Insurance plans in this area (ZIP 95355)

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Provider's Procedures

DR. MUTAHIR UBAID KHAN (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)CA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies263255
CARDIOVASCULAR DISEASE (CARDIOLOGY)CA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report4134
CARDIOVASCULAR DISEASE (CARDIOLOGY)CA93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report4029
CARDIOVASCULAR DISEASE (CARDIOLOGY)CA93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart7170

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: 2264468008View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineCA
Cardiovascular Disease (Cardiology)CA
Interventional CardiologyCA
Cardiovascular Disease (Cardiology), Internal MedicineCA
Cardiovascular Disease (Cardiology)CA

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Frequently asked questions

Does DR. MUTAHIR UBAID KHAN (M.D.) have a public NPI I can cite?
Public records show DR. MUTAHIR UBAID KHAN (M.D.) under NPI 1164734489.
Should I treat DR. MUTAHIR UBAID KHAN (M.D.) as an active provider?
Patients and plans typically see DR. MUTAHIR UBAID KHAN (M.D.) as active in the national extract.
What does the directory say DR. MUTAHIR UBAID KHAN (M.D.) does?
Insurance directories may phrase it differently, but here DR. MUTAHIR UBAID KHAN (M.D.) maps to Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. MUTAHIR UBAID KHAN (M.D.)?
The directory associates DR. MUTAHIR UBAID KHAN (M.D.) with Modesto, California. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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