EJAZ AHMED KHAN (MD) – Family Medicine Physician, NPI 1518902527

EJAZ AHMED KHAN (MD) is a healthcare provider. based in Mchenry, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036108886 (IL). The NPI Number for EJAZ AHMED KHAN (MD) is 1518902527

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
EJAZ AHMED KHAN (MD)
NPI
1518902527
Phone
(815) 578-2020
Address
3922 MERCY DR
Enumeration Date
17 June 2006
Last Update Date
30 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8153377100
Graduation Year
1984 (42 years ago)
PAC ID
5890860910
Group Practice PAC ID
7416860440
Professional Enrollment ID
I20080823000047
Address ID
IL600987401WO2000XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for EJAZ AHMED KHAN (MD)

  • 3922, Mercy Drive, McHenry, McHenry County, Illinois, 60050, United States

    MCHENRY, IL 600503179

    Phone: (815) 578-2020

    Fax: (815) 344-3241

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $138.

Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: ATRICURE, INC. ($114).

Total Amount

$138

General + Research + Ownership

Payments

2

Total payment records

General Amount

$138

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

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: 2008-08-23

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
I20080823000047IFamily PracticeILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes180169$0
99214Established patient office or other outpatient visit, 30-39 minutes156153$0
99203New patient office or other outpatient visit, 30-44 minutes114114$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)8784$0
87651Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique5959$0
View full utilization report →

Insurance plans in this area (ZIP 60050)

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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: 7416860440View full group profile

Reviews

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Frequently asked questions

What is EJAZ AHMED KHAN (MD)'s NPI number?
EJAZ AHMED KHAN (MD)'s NPI is 1518902527 — the number used across U.S. healthcare to identify this provider.
Is EJAZ AHMED KHAN (MD) still an active registrant?
EJAZ AHMED KHAN (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for EJAZ AHMED KHAN (MD)?
At a glance, EJAZ AHMED KHAN (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is EJAZ AHMED KHAN (MD) located near Mchenry?
EJAZ AHMED KHAN (MD) currently maps to Mchenry, Illinois in this extract.
Can I trust this NPI listing for EJAZ AHMED KHAN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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