DR. ABDUL AZIZ KHAN (MD) – Family Medicine Physician, NPI 1245989441

DR. ABDUL AZIZ KHAN (MD) is a healthcare provider. based in North haven, Connecticut. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 105267 (GA). The NPI Number for DR. ABDUL AZIZ KHAN (MD) is 1245989441

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. ABDUL AZIZ KHAN (MD)
NPI
1245989441
Phone
(203) 500-0682
Address
86 Sackett Point Rd
Enumeration Date
23 March 2022
Last Update Date
7 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7705376500
Graduation Year
2022 (4 years ago)
PAC ID
3072989854
Group Practice PAC ID
8729997846
Professional Enrollment ID
I20250724003893
Address ID
GA301102062BR204XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

822 FAMILY PRACTICE in CT

Provider Addresses for DR. ABDUL AZIZ KHAN (MD)

  • 86 Sackett Point Rd

    North Haven, CT 064733263

    Phone: (203) 500-0682

    Type: Location

  • 1900 10TH AVE STE 100

    COLUMBUS, GA 319013601

    Phone: (203) 500-0682

    Type: Mailing

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: 2025-07-24

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
I20250724003893IFamily PracticeGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06473)

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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: 8729997846View full group profile
NameSpecialtyState
Nurse PractitionerGA
Family PracticeGA
Nurse PractitionerGA
Internal MedicineGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ABDUL AZIZ KHAN (MD)?
DR. ABDUL AZIZ KHAN (MD) — NPI 1245989441 — is the standard way to identify this listing.
Is DR. ABDUL AZIZ KHAN (MD) listed as active for patients and plans?
The listing shows DR. ABDUL AZIZ KHAN (MD) as active in the NPI system.
What is DR. ABDUL AZIZ KHAN (MD) best known for clinically?
Directory data describes DR. ABDUL AZIZ KHAN (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ABDUL AZIZ KHAN (MD) based?
DR. ABDUL AZIZ KHAN (MD) is tied to North Haven, Connecticut in the data we show; additional addresses may exist on the full record.
Is the information about DR. ABDUL AZIZ KHAN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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