MANSURUR R. KHAN (MD) – Internal Medicine Physician, NPI 1326196312

MANSURUR R. KHAN (MD) is a healthcare provider. based in Pomona, California. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A72399 (CA). The NPI Number for MANSURUR R. KHAN (MD) is 1326196312

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MANSURUR R. KHAN (MD)
NPI
1326196312
Phone
(909) 524-1940
Address
1940 N ORANGE GROVE AVE
Enumeration Date
8 January 2007
Last Update Date
1 May 2012

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
9099410661
Graduation Year
1998 (28 years ago)
PAC ID
1557348141
Group Practice PAC ID
5092814038
Professional Enrollment ID
I20130507000044
Address ID
CA917671923PO255XXAVEX400
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

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for MANSURUR R. KHAN (MD)

  • 1940, North Orange Grove Avenue, Pomona, Los Angeles County, California, 91767, United States

    SUITE C

    POMONA, CA 917673002

    Phone: (909) 524-1940

    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 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($24).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2013-05-07

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
I20130507000044IInternal MedicineCATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,221310$0
99238Hospital discharge day management, 30 minutes or less260247$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes17233$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes160153$0
99214Established patient office or other outpatient visit, 30-39 minutes7535$0
View full utilization report →

Insurance plans in this area (ZIP 91767)

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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: 5092814038View full group profile
NameSpecialtyState
Internal MedicineTN
Internal MedicineNY
Internal Medicine, HospitalistCA
Internal MedicineCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, Geriatric Medicine, Hospice/Palliative CareCA

Reviews

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Frequently asked questions

Does MANSURUR R. KHAN (MD) have a public NPI I can cite?
Public records show MANSURUR R. KHAN (MD) under NPI 1326196312.
Quick check: is MANSURUR R. KHAN (MD) active?
Public NPPES data shows MANSURUR R. KHAN (MD) with an active NPI status right now.
What services align with MANSURUR R. KHAN (MD)'s listing?
MANSURUR R. KHAN (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MANSURUR R. KHAN (MD)?
The directory associates MANSURUR R. KHAN (MD) with Pomona, California. Check all listed addresses for suites or satellite offices.
Can I export MANSURUR R. KHAN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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