WALI U KHAN (MD) – Cardiovascular Disease Physician, NPI 1174521603

WALI U KHAN (MD) is a healthcare provider. based in Zephyrhills, Florida. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. ME41877 (FL). The NPI Number for WALI U KHAN (MD) is 1174521603

Main info

Male
Sole Proprietor
53 Years Of Experience
Accepts Medicare Assignment
Name
WALI U KHAN (MD)
NPI
1174521603
Phone
(813) 715-4446
Address
37914 DAUGHTERY RD
Enumeration Date
8 July 2005
Deactivation Date
21 March 2006
Reactivation Date
12 April 2006
Last Update Date
6 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3015334000
Graduation Year
1973 (53 years ago)
PAC ID
8224939525
Group Practice PAC ID
5698082436
Professional Enrollment ID
I20240527000180
Address ID
MD215501375OA251XXSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,521 CARDIOVASCULAR DISEASE (CARDIOLOGY) in FL

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Provider Addresses for WALI U KHAN (MD)

  • 37914, Daughtery Road, Zephyrhills, Pasco County, Florida, 33541, United States

    ZEPHYRHILLS, FL 335411316

    Phone: (813) 715-4446

    Fax: (813) 780-7786

    Type: Location

  • PO BOX 48589

    TAMPA, FL 336460122

    Phone: (813) 715-4446

    Fax: (813) 780-7786

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2023-05-11 • Largest payer in this snapshot: Philips Electronics North America Corporation ($52).

Total Amount

$52

General + Research + Ownership

Payments

1

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-05-27

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
I20240527000180ICardiovascular Disease (Cardiology)MDTBD

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 33541)

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Provider's Procedures

WALI U KHAN (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)FL85610Blood test, clotting time46959

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: 5698082436View full group profile
NameSpecialtyState
Nurse PractitionerMD
Clinical Social WorkerMD
Nurse PractitionerMD
Family PracticeMD
Nurse PractitionerMD
Physician AssistantMD
Family PracticePA
Clinical Social WorkerMD
Physician AssistantMD
Nurse PractitionerWV

Reviews

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Frequently asked questions

Can I verify WALI U KHAN (MD) with an NPI only?
You can start verification with NPI 1174521603 for WALI U KHAN (MD), then check state licensing separately.
Is WALI U KHAN (MD) still practicing?
WALI U KHAN (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes WALI U KHAN (MD)?
For research purposes, treat WALI U KHAN (MD) as Cardiovascular Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does WALI U KHAN (MD) list a practice location?
Patients near Zephyrhills, Florida may find WALI U KHAN (MD) in results; validate coverage separately.
Why does WALI U KHAN (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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