ATIYA S. KHAN (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1881691368
Neurology with Special Qualifications in Child Neurology Physician
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Profile Insights
NPPES metrics only — not quality of care.
529 NEUROLOGY in IN
Provider Addresses for ATIYA S. KHAN (M.D.)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 468451701
Phone: (260) 266-5400
Fax: (260) 266-5405
Type: Location
3926, New Vision Drive, Fort Wayne, Allen County, Indiana, 46845, United States
BLDG H
FORT WAYNE, IN 468451712
Phone: (260) 266-8213
Fax: (260) 458-5658
Type: Mailing
Parkview Circle, Fort Wayne, Allen County, Indiana, 46845, United States
FORT WAYNE, IN 468451673
Phone: (260) 460-3100
Fax: (260) 460-3130
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 599 Open Payments records for all available years, with a total value of $409,008.
Total Amount is formed as General ($409,008) + Research ($0) + Ownership ($0) = $409,008.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: UCB, Inc. ($127,367).
Total Amount
$409,008
General + Research + Ownership
Payments
599
Total payment records
General Amount
$409,008
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
| Company | Amount |
|---|---|
| UCB, Inc. | $127,367 |
| JAZZ PHARMACEUTICALS INC. | $99,567 |
| Neurelis, Inc. | $82,570 |
| CATALYST PHARMACEUTICALS, INC. | $70,398 |
| SK Life Science, Inc. | $19,393 |
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: 2005-01-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050118000637 | I | Neurology | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46845)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROLOGY | IN | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 14 | 14 |
| NEUROLOGY | IN | 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 24 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Infectious Disease | IN | |
| Internal Medicine | IN | |
| - | IN |
Reviews
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