MRS. HUMA TARIQ KHALIQ (PA) – Physician Assistant, NPI 1750389375
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
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Provider Addresses for MRS. HUMA TARIQ KHALIQ (PA)
232, North Elm Street, Inner City Homes, Waterbury, New Haven County, Connecticut, 06702, United States
WATERBURY, CT 067021516
Phone: (203) 756-8021
Type: Location
121 PIERCE BLVD
WINDSOR, CT 060954744
Phone: (203) 449-1036
Type: Mailing
1907 BORDER AVE
TORRANCE, CA 905013606
Phone: (844) 443-6246
Fax: (833) 907-2235
Type: Location
299, Stevenson Road, Fairfield, Fairfield County, Connecticut, 06825, United States
FAIRFIELD, CT 068251049
Phone: (203) 371-8257
Type: Mailing
232 N Elm St
Waterbury, CT 067021516
Phone: (203) 756-8021
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: 2025-10-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20050330001049 | I | Physician Assistant | CT | TBD |
| I20240909003072 | I | Physician Assistant | NY | TBD |
| I20241009002306 | I | Physician Assistant | NJ | TBD |
| I20250408000066 | I | Physician Assistant | CA | TBD |
| I20250814000861 | I | Physician Assistant | PA | TBD |
| I20251006000509 | I | Physician Assistant | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Physician Assistant | NY | |
| Nurse Practitioner | TN | |
| Emergency Medicine, Internal Medicine | NY | |
| Nurse Practitioner | NY | |
| Physician Assistant | NY | |
| Physician Assistant | TN | |
| Physician Assistant | NY |
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