MOHD KHAIRUL ANAM (M.D.) – Nephrology Physician, NPI 1356354500

MOHD KHAIRUL ANAM (M.D.) is a healthcare provider. based in Lagrange, Georgia. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. 039720 (GA). The NPI Number for MOHD KHAIRUL ANAM (M.D.) is 1356354500

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
MOHD KHAIRUL ANAM (M.D.)
NPI
1356354500
Phone
(706) 882-9341
Address
1602 Vernon Rd Ste 400
Enumeration Date
15 August 2006
Last Update Date
6 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068829341
Graduation Year
1983 (43 years ago)
PAC ID
6901842103
Group Practice PAC ID
4183663750
Professional Enrollment ID
I20240528000620
Address ID
GA302404129LA1602XRDXX304

Contacts

Secure Messaging
lagrangeinternalmedicine@1300.direct.myezyaccess.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

5,409 INTERNAL MEDICINE in GA

Provider Addresses for MOHD KHAIRUL ANAM (M.D.)

  • 1602 Vernon Rd Ste 400

    LaGrange, GA 302404129

    Phone: (706) 882-9341

    Fax: (706) 884-0131

    Type: Location

  • 1602 VERNON RD STE 400

    LAGRANGE, GA 302404129

    Phone: (706) 882-9341

    Fax: (706) 884-0131

    Type: Mailing

  • Old Mill Road, LaGrange Township, Cass County, Michigan, United States

    LAGRANGE, GA 30241

    Phone: (706) 885-1900

    Fax: (706) 882-1350

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2024-08-09 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($33).

Total Amount

$94

General + Research + Ownership

Payments

10

Total payment records

General Amount

$94

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-09

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: 2024-05-28

PECOS data refreshed: 2026-05-27

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
I20050628000855IHospitalistGATBD
I20240528000620IInternal MedicineGATBD

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 minutes599181$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes309121$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes106101$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month10227$0
99214Established patient office or other outpatient visit, 30-39 minutes8157$0
View full utilization report →

Insurance plans in this area (ZIP 30240)

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Provider's Procedures

MOHD KHAIRUL ANAM (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HOSPITALISTGA90935Hemodialysis procedure with one physician evaluation2218
HOSPITALISTGA90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older20344

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: 4183663750View full group profile
NameSpecialtyState
Internal Medicine, NephrologyGA
Internal MedicineGA
Internal MedicineGA
Internal MedicineGA
Internal Medicine, NephrologyGA
-GA
Internal MedicineGA

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Frequently asked questions

Does MOHD KHAIRUL ANAM (M.D.) have a public NPI I can cite?
Public records show MOHD KHAIRUL ANAM (M.D.) under NPI 1356354500.
Does the public listing show MOHD KHAIRUL ANAM (M.D.) as active?
MOHD KHAIRUL ANAM (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say MOHD KHAIRUL ANAM (M.D.) does?
Insurance directories may phrase it differently, but here MOHD KHAIRUL ANAM (M.D.) maps to Nephrology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MOHD KHAIRUL ANAM (M.D.) in Lagrange, Georgia?
For routing, start with Lagrange, Georgia for MOHD KHAIRUL ANAM (M.D.), then verify phone and hours locally.
Can I export MOHD KHAIRUL ANAM (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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