DR. OMAR T KHAN (DO) – Rheumatology Physician, NPI 1144480310

DR. OMAR T KHAN (DO) is a healthcare provider. based in Roswell, Georgia. specializing in RHEUMATOLOGY. They hold the professional credentials DO. They hold a License No. 254550 (NY). The NPI Number for DR. OMAR T KHAN (DO) is 1144480310

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. OMAR T KHAN (DO)
NPI
1144480310
Phone
(770) 284-3150
Address
11685 ALPHARETTA HWY STE 120
Enumeration Date
11 June 2008
Last Update Date
23 May 2019

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
7708892163
Graduation Year
2006 (20 years ago)
PAC ID
0042348591
Group Practice PAC ID
3577470442
Professional Enrollment ID
I20141219000373
Address ID
GA300402434CU100XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

186 RHEUMATOLOGY in GA

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Provider Addresses for DR. OMAR T KHAN (DO)

  • 120, Halstead Court, Seven Pines, Alpharetta, Fulton, Georgia, 30022, United States

    ROSWELL, GA 300764910

    Phone: (770) 284-3150

    Fax: (770) 284-3170

    Type: Mailing

  • 805, Mary Alice Park Road, Cumming, Forsyth County, Georgia, 30041, United States

    CUMMING, GA 300402664

    Phone: (770) 284-3150

    Fax: (770) 284-3170

    Type: Location

  • 907 18th St E

    Suite 490

    Tifton, GA 317943643

    Phone: (229) 391-3320

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 421 Open Payments records for all available years, with a total value of $47,081.

Total Amount is formed as General ($47,081) + Research ($0) + Ownership ($0) = $47,081.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($14,179).

Total Amount

$47,081

General + Research + Ownership

Payments

421

Total payment records

General Amount

$47,081

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: 2014-12-19

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
I20141219000373IRheumatologyGATBD

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
J3111Injection, romosozumab-aqqg, 1 mg21,84025$0
J0897Injection, denosumab, 1 mg10,261110$0
86235Measurement of antibody for assessment of autoimmune disorder, any method1,044149$0
J1030Injection, methylprednisolone acetate, 40 mg1,03564$0
36415Insertion of needle into vein for collection of blood sample730362$0
View full utilization report →

Insurance plans in this area (ZIP 30076)

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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: 3577470442View full group profile

Reviews

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Frequently asked questions

Is DR. OMAR T KHAN (DO) listed with a National Provider Identifier?
Yes — DR. OMAR T KHAN (DO) has NPI 1144480310 on file in the registry.
Would DR. OMAR T KHAN (DO) appear as active to a payer?
You can treat DR. OMAR T KHAN (DO) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. OMAR T KHAN (DO)?
DR. OMAR T KHAN (DO) is associated with Rheumatology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. OMAR T KHAN (DO) located near Roswell?
DR. OMAR T KHAN (DO) currently maps to Roswell, Georgia in this extract.
When was this NPI issued?
Enumeration for DR. OMAR T KHAN (DO) is noted as June 11, 2008 where the registry provides it.

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