DR. KHURRAM A KHAN (M.D.) – Geriatric Medicine (Family Medicine) Physician, NPI 1063677011

DR. KHURRAM A KHAN (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in HOSPITALIST, FAMILY PRACTICE, GERIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 067490 (GA). The NPI Number for DR. KHURRAM A KHAN (M.D.) is 1063677011

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. KHURRAM A KHAN (M.D.)
NPI
1063677011
Phone
(404) 728-6363
Address
1821 Clifton Rd NE
Enumeration Date
18 July 2008
Last Update Date
18 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7708794330
Graduation Year
2007 (19 years ago)
PAC ID
6204092455
Group Practice PAC ID
7810961380
Professional Enrollment ID
I20120717000058
Address ID
GA300876741ST500XXCIRX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,291 HOSPITALIST in GA

Provider Addresses for DR. KHURRAM A KHAN (M.D.)

  • 1821 Clifton Rd NE

    Atlanta, GA 303294021

    Phone: (404) 728-6363

    Fax: (404) 728-6298

    Type: Location

  • 954 WOODWARD PARK DR

    SUWANEE, GA 300242859

    Phone: (678) 665-5370

    Type: Mailing

  • 500 SPRINGHOUSE CIR

    STONE MOUNTAIN, GA 300876741

    Phone: (770) 879-4330

    Fax: (678) 684-3066

    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: 2025-01-23

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120717000058IFamily PracticeGATBD
I20250123001705IHospitalistGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes14082$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes128113$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes7846$0
36415Insertion of needle into vein for collection of blood sample7762$0
99213Established patient office or other outpatient visit, 20-29 minutes6052$0
View full utilization report →

Insurance plans in this area (ZIP 30329)

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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: 7810961380View full group profile
NameSpecialtyState
Family Practice, Geriatric MedicineOH
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the standard ID for DR. KHURRAM A KHAN (M.D.) in the U.S.?
In the U.S., DR. KHURRAM A KHAN (M.D.) is identified by NPI 1063677011.
Is DR. KHURRAM A KHAN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. KHURRAM A KHAN (M.D.) as active.
How should patients interpret DR. KHURRAM A KHAN (M.D.)'s specialty?
The extract shows Geriatric Medicine (Family Medicine) Physician for DR. KHURRAM A KHAN (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. KHURRAM A KHAN (M.D.)?
The directory associates DR. KHURRAM A KHAN (M.D.) with Atlanta, Georgia. Check all listed addresses for suites or satellite offices.
Who maintains DR. KHURRAM A KHAN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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