GULAM ASHFAQ-HUSAIN KHAN (MD) – Diagnostic Radiology Physician, NPI 1528055001
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
847 DIAGNOSTIC RADIOLOGY in IN
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Provider Addresses for GULAM ASHFAQ-HUSAIN KHAN (MD)
Chase Street, Crown Point, Center Township, Lake County, Indiana, 46307, United States
CROWN POINT, IN 463079774
Phone: (877) 264-3344
Fax: (888) 264-8118
Type: Location
13738 Chase St
Crown Point, IN 463079774
Phone: (877) 264-3344
Fax: (888) 264-8118
Type: Location
17310 Wright St Ste 103
Omaha, NE 681302405
Phone: (833) 228-6889
Fax: (877) 853-0376
Type: Location
500 Martha Jefferson Dr
Charlottesville, VA 229114668
Phone: (434) 654-7000
Type: Location
1700 Old Gatesburg Rd Ste 100
State College, PA 168032276
Phone: (814) 278-3280
Fax: (814) 231-7098
Type: Location
1800 E Park Ave
State College, PA 168036701
Phone: (814) 231-7000
Fax: (814) 231-7098
Type: Location
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 722057101
Phone: (501) 686-8000
Fax: (501) 526-5148
Type: Mailing
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 722057101
Phone: (501) 686-8000
Fax: (501) 526-5148
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: 2025-05-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 10 Medicare enrollment records; no due dates published yet.
Enrollment records
10
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050803001164 | I | Diagnostic Radiology | IN | TBD |
| I20130205000335 | I | Diagnostic Radiology | MI | TBD |
| I20200513002332 | I | Diagnostic Radiology | TX | TBD |
| I20200811001705 | I | Diagnostic Radiology | KY | TBD |
| I20211021000229 | I | Diagnostic Radiology | TN | TBD |
| I20240328003282 | I | Diagnostic Radiology | CA | TBD |
| I20240416003244 | I | Diagnostic Radiology | AR | TBD |
| I20240501001973 | I | Diagnostic Radiology | AZ | TBD |
| I20241019000113 | I | Diagnostic Radiology | NJ | TBD |
| I20250509000133 | I | Diagnostic Radiology | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 36 | 36 | $0 |
| 71046 | X-ray of chest, 2 views | 32 | 32 | $0 |
Insurance plans in this area (ZIP 46307)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Diagnostic Radiology, Interventional Radiology | MA | |
| Diagnostic Radiology | CA | |
| - | CA | |
| Orthopedic Surgery | CA | |
| - | WV | |
| Diagnostic Radiology | CA | |
| - | TX | |
| General Surgery | CA | |
| Interventional Radiology, Diagnostic Radiology | IL |
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