DR. SHAAN KHAN (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1629488002

DR. SHAAN KHAN (M.D.) is a healthcare provider. based in La porte, Indiana. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 01082263A (IN). The NPI Number for DR. SHAAN KHAN (M.D.) is 1629488002

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAAN KHAN (M.D.)
NPI
1629488002
Phone
(219) 326-1234
Address
500 LEGACY PLZ W
Enumeration Date
6 May 2014
Last Update Date
2 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
8123365723
Group Practice PAC ID
3173683984
Professional Enrollment ID
I20190823000243
Address ID
IN463041589CH425XXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

183 PAIN MANAGEMENT in IN

Provider Addresses for DR. SHAAN KHAN (M.D.)

  • 500 LEGACY PLZ W

    LA PORTE, IN 463505254

    Phone: (219) 326-1234

    Type: Location

  • 750 E Adams St

    Syracuse, NY 132102306

    Phone: (317) 828-1900

    Type: Location

  • 7528 PERRIER DR

    INDIANAPOLIS, IN 462781647

    Phone: (317) 828-1900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 125 Open Payments records for all available years, with a total value of $12,223.

Total Amount is formed as General ($12,223) + Research ($0) + Ownership ($0) = $12,223.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Vertos Medical, Inc. ($5,530).

Total Amount

$12,223

General + Research + Ownership

Payments

125

Total payment records

General Amount

$12,223

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2019-08-23

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
I20190823000243IPain ManagementINTBD

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 minutes679223$0
99213Established patient office or other outpatient visit, 20-29 minutes197130$0
62323Injection of substance into lower spine canal using imaging guidance131110$0
99204New patient office or other outpatient visit, 45-59 minutes121121$0
20610Aspiration and/or injection of fluid from large joint8060$0
View full utilization report →

Insurance plans in this area (ZIP 46350)

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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: 3173683984View full group profile
NameSpecialtyState
Orthopedic SurgeryIN
Nurse PractitionerIN
O P T O M E T R YIN
Orthopedic SurgeryIL
U R O L O G YMI
Orthopedic SurgeryIN
Nurse PractitionerIL
Hospitalist, Internal MedicineIN
Nurse PractitionerIN
Orthopedic Surgery, Hand SurgeryWA

Reviews

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Frequently asked questions

How do I look up DR. SHAAN KHAN (M.D.) by NPI?
Use NPI 1629488002 when you need to reference DR. SHAAN KHAN (M.D.) in forms, claims, or directories.
Does this profile mean DR. SHAAN KHAN (M.D.) is currently active?
Yes — DR. SHAAN KHAN (M.D.) appears active in the national provider directory.
Can you summarize DR. SHAAN KHAN (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. SHAAN KHAN (M.D.) with Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. SHAAN KHAN (M.D.)?
We surface La Porte, Indiana for DR. SHAAN KHAN (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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