SHAZIB N. KHAWAJA (MD) – Interventional Cardiology Physician, NPI 1417901604

SHAZIB N. KHAWAJA (MD) is a healthcare provider. based in Carrollton, Georgia. specializing in INTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 058888 (GA). The NPI Number for SHAZIB N. KHAWAJA (MD) is 1417901604

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
SHAZIB N. KHAWAJA (MD)
NPI
1417901604
Phone
(770) 838-8710
Address
119 AMBULANCE DR 202
Enumeration Date
20 May 2006
Last Update Date
4 August 2015

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2563572188
Graduation Year
1995 (31 years ago)
PAC ID
8325031875
Group Practice PAC ID
8325447642
Professional Enrollment ID
I20040811001350
Address ID
AL362787440WE1030XSXXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

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Provider Addresses for SHAZIB N. KHAWAJA (MD)

  • Ambulance Drive, Carrollton, Carroll County, Georgia, 30119, United States

    CARROLLTON, GA 301173857

    Phone: (770) 838-8710

    Type: Mailing

  • Tanner Medical Center, 705, Dixie Street, Carrollton, Carroll County, Georgia, 30117, United States

    SUITE 401

    CARROLLTON, GA 301173818

    Phone: (770) 836-9326

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $7,372.

Total Amount is formed as General ($7,372) + Research ($0) + Ownership ($0) = $7,372.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Boston Scientific Corporation ($2,693).

Total Amount

$7,372

General + Research + Ownership

Payments

38

Total payment records

General Amount

$7,372

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2007-03-08

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
I20040811001350ICardiovascular Disease (Cardiology)ALTBD
I20070308000113ICardiovascular Disease (Cardiology)GATBD

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 minutes657555$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report532461$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function309291$0
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician273260$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes253226$0
View full utilization report →

Insurance plans in this area (ZIP 30117)

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Provider's Procedures

SHAZIB N. KHAWAJA (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA85610Blood test, clotting time70357

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: 8325447642View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
Nurse PractitionerGA
H E M A T O L O G Y/ O N C O L O G YGA

Reviews

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Frequently asked questions

Where can patients find SHAZIB N. KHAWAJA (MD)'s NPI?
You can confirm SHAZIB N. KHAWAJA (MD) with NPI 1417901604; it appears in the national provider directory.
Does this profile mean SHAZIB N. KHAWAJA (MD) is currently active?
Yes — SHAZIB N. KHAWAJA (MD) appears active in the national provider directory.
What kind of provider is SHAZIB N. KHAWAJA (MD)?
The page reflects Interventional Cardiology Physician for SHAZIB N. KHAWAJA (MD). Clinical services aligned with this taxonomy classification.
Where is SHAZIB N. KHAWAJA (MD)'s primary listing?
We display Carrollton, Georgia because that is what the record indicates for SHAZIB N. KHAWAJA (MD).
How can I contact SHAZIB N. KHAWAJA (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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