FATIMA E KHAN (M.D.) – Allergy & Immunology Physician, NPI 1891037446

FATIMA E KHAN (M.D.) is a healthcare provider. based in Tampa, Florida. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials M.D.. They hold a License No. ME142379 (FL). The NPI Number for FATIMA E KHAN (M.D.) is 1891037446

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
FATIMA E KHAN (M.D.)
NPI
1891037446
Phone
(813) 969-0116
Address
3645 MADACA LN
Enumeration Date
21 March 2013
Last Update Date
8 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8139690116
Graduation Year
2012 (14 years ago)
PAC ID
8022443365
Group Practice PAC ID
2264493014
Professional Enrollment ID
I20200115001423
Address ID
FL336182048TA3645XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

274 ALLERGY/IMMUNOLOGY in FL

Provider Addresses for FATIMA E KHAN (M.D.)

  • 3645 MADACA LN

    TAMPA, FL 336182048

    Phone: (813) 969-0116

    Fax: (813) 969-3794

    Type: Mailing

  • 539 Medical Oaks Ave

    Brandon, FL 335115961

    Phone: (813) 969-0116

    Type: Location

  • 105 S Macdill Ave Ste 201

    Tampa, FL 336093490

    Phone: (813) 969-0116

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 185 Open Payments records for all available years, with a total value of $4,649.

Total Amount is formed as General ($4,649) + Research ($0) + Ownership ($0) = $4,649.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GENZYME CORPORATION ($1,515).

Total Amount

$4,649

General + Research + Ownership

Payments

185

Total payment records

General Amount

$4,649

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2020-01-15

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
I20200115001423IAllergy/ImmunologyFLTBD

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
95004Test for allergy using allergenic extract1,11317$0
95165Professional service for preparation and provision of 1 or more antigens96937$0
95117Professional service for multiple injections of allergen53036$0
94010Test to measure expiratory airflow and volume27845$0
95024Test for allergy using allergenic extract injected into skin18716$0
View full utilization report →

Insurance plans in this area (ZIP 33618)

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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: 2264493014View full group profile
NameSpecialtyState
Sleep MedicineFL
A L L E R G Y/ I M M U N O L O G YAZ
Nurse PractitionerFL
A L L E R G Y/ I M M U N O L O G YFL
-FL

Reviews

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Frequently asked questions

How is FATIMA E KHAN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists FATIMA E KHAN (M.D.) with NPI 1891037446.
Does CMS list FATIMA E KHAN (M.D.) as active?
Yes — FATIMA E KHAN (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes FATIMA E KHAN (M.D.)?
For research purposes, treat FATIMA E KHAN (M.D.) as Allergy & Immunology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does FATIMA E KHAN (M.D.) serve?
FATIMA E KHAN (M.D.)'s listing highlights Tampa, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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