DR. KULSOOM A KHAN (M.D.) – Psychiatry Physician, NPI 1396884151
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,134 PSYCHIATRY in CA
Provider Addresses for DR. KULSOOM A KHAN (M.D.)
871 ENBORG CT
SUITE 100,
SAN JOSE, CA 951282645
Phone: (408) 885-7855
Fax: (408) 885-7855
Type: Mailing
390 RIVER ST
SPRINGFIELD, VT 051562226
Phone: (802) 886-4500
Fax: (802) 886-4520
Type: Mailing
49 SCHOOL STREET
HARTFORD, VT 050470709
Phone: (802) 295-3031
Fax: (802) 295-0820
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-11-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090819000243 | I | Psychiatry | CA | TBD |
| I20171121000319 | I | Psychiatry | VT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 123 | 43 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 107 | 39 | $0 |
| 90837 | Psychotherapy, 1 hour | 105 | 15 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 39 | 24 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 26 | 17 | $0 |
Insurance plans in this area (ZIP 95128)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VT | |
| P S Y C H I A T R Y | CO | |
| Mental Health Counselor | VT | |
| P S Y C H I A T R Y | VT | |
| Clinical Psychologist | VT | |
| Mental Health Counselor | VT | |
| Mental Health Counselor | VT | |
| Clinical Social Worker | NY | |
| - | VT | |
| P S Y C H I A T R Y | VT |
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