DR. ABDUL S KHAN (MD) – Internal Medicine Physician, NPI 1710902564

DR. ABDUL S KHAN (MD) is a healthcare provider. based in Clearwater, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME0083644 (FL). The NPI Number for DR. ABDUL S KHAN (MD) is 1710902564

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. ABDUL S KHAN (MD)
NPI
1710902564
Phone
(727) 447-5454
Address
2707 E GRAND RESERVE
Enumeration Date
13 July 2006
Last Update Date
10 June 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7274627000
Graduation Year
1995 (31 years ago)
PAC ID
0143393033
Group Practice PAC ID
7012169493
Professional Enrollment ID
I20080725000337
Address ID
FL337563804CL300XXSTXX300
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

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for DR. ABDUL S KHAN (MD)

  • West Grand Reserve Circle, Clearwater, Pinellas County, Florida, 34619, United States

    #1422

    CLEARWATER, FL 337596216

    Phone: (727) 447-5454

    Fax: (727) 441-4782

    Type: Mailing

  • 2707, East Grand Reserve Circle, Clearwater, Pinellas County, Florida, 33759, United States

    APT 1422

    CLEARWATER, FL 337594908

    Phone: (727) 447-5454

    Fax: (727) 441-4782

    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: 2008-07-25

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
I20080725000337IInternal 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes903274$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes247232$0
99238Hospital discharge day management, 30 minutes or less177170$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 33759)

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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: 7012169493View full group profile
NameSpecialtyState
Family PracticeFL
Hospitalist, Family PracticeFL
N E U R O L O G YMD
Internal Medicine, NephrologyFL
Internal MedicineFL
Internal Medicine, Hospitalist, Internal MedicinePA
Hospitalist, Family PracticeOH
Nephrology, Internal MedicineFL
Internal MedicineFL
Internal MedicineFL

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Frequently asked questions

What identifier follows DR. ABDUL S KHAN (MD) across health systems?
The NPI 1710902564 uniquely identifies DR. ABDUL S KHAN (MD) in U.S. healthcare data.
Is DR. ABDUL S KHAN (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. ABDUL S KHAN (MD) as active.
What does the directory say DR. ABDUL S KHAN (MD) does?
Insurance directories may phrase it differently, but here DR. ABDUL S KHAN (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ABDUL S KHAN (MD)?
DR. ABDUL S KHAN (MD) is associated with Clearwater, Florida in the same public data insurers reference.
Why is information missing for DR. ABDUL S KHAN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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