KHALIL KHAN (D.O.) – Internal Medicine Physician, NPI 1679626311

KHALIL KHAN (D.O.) is a healthcare provider. based in Plantation, Florida. specializing in Internal Medicine Physician. They hold the professional credentials D.O.. They hold a License No. OS10066 (FL). The NPI Number for KHALIL KHAN (D.O.) is 1679626311

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
KHALIL KHAN (D.O.)
NPI
1679626311
Phone
(954) 474-9082
Address
11550 NW 20TH ST
Enumeration Date
18 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9545270222
Graduation Year
2004 (22 years ago)
PAC ID
8628158755
Group Practice PAC ID
3779665765
Professional Enrollment ID
I20080102000406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KHALIL KHAN (D.O.)

  • 11550, Northwest 20th Street, Plantation Acres, Plantation, Broward County, Florida, 33323, United States

    PLANTATION, FL 333232062

    Phone: (954) 474-9082

    Fax: (954) 763-3544

    Type: Mailing

  • 1226, Southwest 3rd Avenue, Fort Lauderdale, Broward County, Florida, 33315, United States

    FT LAUDERDALE, FL 333151507

    Phone: (954) 527-0222

    Fax: (954) 763-3544

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $135.

Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.

Last reported payment date: 2023-06-23 • Largest payer in this snapshot: PFIZER INC. ($120).

Total Amount

$135

General + Research + Ownership

Payments

2

Total payment records

General Amount

$135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$120
Lilly USA, LLC$16
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: 2008-01-02

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
I20080102000406IInternal MedicineFLTBD

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 33323)

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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: 3779665765View full group profile
NameSpecialtyState
-FL

Reviews

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Frequently asked questions

Can I use this page to confirm KHALIL KHAN (D.O.)'s NPI?
Yes. KHALIL KHAN (D.O.) is listed with NPI 1679626311 in the public NPI dataset.
Is KHALIL KHAN (D.O.) still practicing?
KHALIL KHAN (D.O.) is currently listed as active in the public NPI registry.
What is KHALIL KHAN (D.O.)'s specialty?
The listing groups KHALIL KHAN (D.O.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect KHALIL KHAN (D.O.) on a map?
Expect Plantation, Florida as a primary anchor for KHALIL KHAN (D.O.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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