DR. HASAN AMJAD KHAN (D.O.) – Family Medicine Physician, NPI 1215270152
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for DR. HASAN AMJAD KHAN (D.O.)
10051 5TH ST. NORTH
SUITE 200
ST. PETERSBURG, FL 337022211
Phone: (727) 824-0780
Fax: (727) 568-6011
Type: Mailing
2812 54TH AVE S
ST PETERSBURG, FL 337124610
Phone: (727) 867-8641
Fax: (727) 867-6795
Type: Location
4700 MILLENIA BLVD STE 650
ORLANDO, FL 328396013
Phone: (407) 533-6836
Fax: (407) 232-9316
Type: Mailing
545 GULFGATE CENTER MALL
HOUSTON, TX 770873023
Phone: (281) 846-7209
Fax: (833) 845-2872
Type: Location
PO BOX 26666
PROVIDER ENROLLMENT
ALBUQUERQUE, NM 871250006
Phone: (505) 923-6770
Fax: (505) 923-5354
Type: Mailing
8800 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 871112310
Phone: (505) 462-6400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $219.
Total Amount is formed as General ($219) + Research ($0) + Ownership ($0) = $219.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Boston Scientific Corporation ($173).
Total Amount
$219
General + Research + Ownership
Payments
3
Total payment records
General Amount
$219
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $173 |
| PFIZER INC. | $29 |
| Exact Sciences Corporation | $16 |
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: 2023-05-04
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 |
|---|---|---|---|---|
| I20210924001325 | I | Family Practice | NM | TBD |
| I20230504002686 | I | Family Practice | TX | 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 33702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Internal Medicine | FL | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | OH | |
| Internal Medicine | TX |
Reviews
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