AQSA KHAN (MD) – Internal Medicine Physician, NPI 1144970401

AQSA KHAN (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 01095458A (IN). The NPI Number for AQSA KHAN (MD) is 1144970401

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
AQSA KHAN (MD)
NPI
1144970401
Phone
(260) 373-4000
Address
2231 Carew St
Enumeration Date
28 March 2022
Last Update Date
21 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604632133111
Graduation Year
2018 (8 years ago)
PAC ID
1254705387
Group Practice PAC ID
7113830688
Professional Enrollment ID
I20260226001067
Address ID
OH435061690BR433XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

3,517 INTERNAL MEDICINE in IN

Provider Addresses for AQSA KHAN (MD)

  • 2231 Carew St

    Fort Wayne, IN 468054713

    Phone: (260) 373-4000

    Type: Location

  • 2231 CAREW ST

    FORT WAYNE, IN 468054713

    Phone: (260) 373-4000

    Type: Mailing

  • PO BOX 236

    LAGRANGE, IN 467610236

    Phone: (260) 463-2133

    Fax: (260) 463-3775

    Type: Mailing

  • 2500 N DETROIT ST

    LAGRANGE, IN 467611158

    Phone: (260) 463-2133

    Fax: (260) 463-3775

    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: 2026-02-26

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
I20250708000305IInternal MedicineINTBD
I20260226001067IInternal MedicineOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46805)

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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: 7113830688View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
Internal MedicineIN
Physician AssistantIN
Nurse PractitionerIN
Nurse PractitionerIN
Internal MedicineIN
Internal MedicineOH
Nurse PractitionerIN
Internal MedicinePA

Reviews

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Frequently asked questions

Can I verify AQSA KHAN (MD) with an NPI only?
You can start verification with NPI 1144970401 for AQSA KHAN (MD), then check state licensing separately.
Can I rely on AQSA KHAN (MD) being an active provider?
As of the registry snapshot, AQSA KHAN (MD) is marked active.
What is AQSA KHAN (MD) best known for clinically?
Directory data describes AQSA KHAN (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is AQSA KHAN (MD) based?
AQSA KHAN (MD) is tied to Fort Wayne, Indiana in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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