DR. OMAR AHMED KHAN (DNP, APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1629308135
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for DR. OMAR AHMED KHAN (DNP, APRN, PMHNP-BC)
4760 Sepulveda Blvd
Culver City, CA 902304820
Phone: (310) 390-6612
Fax: (310) 398-5690
Type: Location
1465 Kelly Johnson Blvd Ste 305
Colorado Springs, CO 809203947
Phone: (719) 495-3359
Fax: (719) 691-7003
Type: Location
4760, Sepulveda Boulevard, Del Rey, Los Angeles, Los Angeles County, California, 90230, United States
CULVER CITY, CA 902304820
Phone: (310) 390-6612
Fax: (310) 398-5690
Type: Mailing
323, North Prairie Avenue, Inglewood, Los Angeles County, California, 90301, United States
INGLEWOOD, CA 903014502
Phone: (310) 846-2100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $690.
Total Amount is formed as General ($690) + Research ($0) + Ownership ($0) = $690.
Last reported payment date: 2024-09-16 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($163).
Total Amount
$690
General + Research + Ownership
Payments
15
Total payment records
General Amount
$690
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-05-05
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 |
|---|---|---|---|---|
| I20180404002420 | I | Nurse Practitioner | CA | TBD |
| I20210505000937 | I | Nurse Practitioner | CO | 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 | 53 | 29 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 32 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 12 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 90230)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | CA | |
| Clinical Social Worker | CA | |
| Mental Health Counselor | CA | |
| P S Y C H I A T R Y | CA | |
| Clinical Psychologist | CA | |
| P S Y C H I A T R Y | CA | |
| Marriage And Family Therapist | CA | |
| Psychiatry, Family Practice | CA | |
| - | CA | |
| Marriage And Family Therapist | CA |
Reviews
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