DR. MASHIUR RAHMAN KHAN (M.D.) – Psychiatry Physician, NPI 1396941175

DR. MASHIUR RAHMAN KHAN (M.D.) is a healthcare provider. based in Jeffersonville, Indiana. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 43888 (KY). The NPI Number for DR. MASHIUR RAHMAN KHAN (M.D.) is 1396941175

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. MASHIUR RAHMAN KHAN (M.D.)
NPI
1396941175
Phone
(812) 282-8248
Address
2420 E 10TH ST
Enumeration Date
26 June 2007
Last Update Date
13 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5138662220
Graduation Year
2007 (19 years ago)
PAC ID
1850557778
Group Practice PAC ID
4486071545
Professional Enrollment ID
I20220811002066
Address ID
OH452396650CI2446XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

529 PSYCHIATRY in IN

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Provider Addresses for DR. MASHIUR RAHMAN KHAN (M.D.)

  • 2420, East 10th Street, Jeffersonville, Clark County, Indiana, 47130, United States

    JEFFERSONVILLE, IN 471307303

    Phone: (812) 282-8248

    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 $71.

Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($49).

Total Amount

$71

General + Research + Ownership

Payments

2

Total payment records

General Amount

$71

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2022-08-11

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
I20220131002631IPsychiatryKYTBD
I20220811002066IPsychiatryOHTBD

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 47130)

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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: 4486071545View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
P S Y C H I A T R YKY
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Is DR. MASHIUR RAHMAN KHAN (M.D.) listed with a National Provider Identifier?
Yes — DR. MASHIUR RAHMAN KHAN (M.D.) has NPI 1396941175 on file in the registry.
Would DR. MASHIUR RAHMAN KHAN (M.D.) appear as active to a payer?
You can treat DR. MASHIUR RAHMAN KHAN (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. MASHIUR RAHMAN KHAN (M.D.)?
DR. MASHIUR RAHMAN KHAN (M.D.) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MASHIUR RAHMAN KHAN (M.D.)?
Directory geography for DR. MASHIUR RAHMAN KHAN (M.D.) centers on Jeffersonville, Indiana.
Does DR. MASHIUR RAHMAN KHAN (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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