DR. SHAMA KHAN (MD) – Family Medicine Physician, NPI 1083174502
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,499 FAMILY PRACTICE in AR
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Provider Addresses for DR. SHAMA KHAN (MD)
10987 SHELDON RD STE 200
TAMPA, FL 336264702
Phone: (813) 467-4800
Type: Mailing
West 40th Avenue, Pine Bluff, Jefferson County, Arkansas, 71603, United States
PINE BLUFF, AR 716036319
Phone: (870) 541-6000
Type: Mailing
1601 W 40th Ave Ste 1
Pine Bluff, AR 716036319
Phone: (870) 541-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $522.
Total Amount is formed as General ($522) + Research ($0) + Ownership ($0) = $522.
Last reported payment date: 2024-08-13 • Largest payer in this snapshot: ABBVIE INC. ($171).
Total Amount
$522
General + Research + Ownership
Payments
28
Total payment records
General Amount
$522
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $171 |
| Novo Nordisk Inc | $165 |
| Corium, LLC | $44 |
| Amgen Inc. | $43 |
| PFIZER INC. | $41 |
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: 2023-05-22
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 |
|---|---|---|---|---|
| I20210823001198 | I | Family Practice | AR | TBD |
| I20230522001392 | I | Family Practice | OK | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 87 | 54 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 31 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 28 | 27 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 23 | 18 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 33626)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | IA | |
| Emergency Medicine | OK | |
| Nurse Practitioner | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine | MI | |
| Emergency Medicine | FL | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | OK | |
| General Practice, Emergency Medicine | OK | |
| Family Practice | OK |
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