DR. SHALLA H KHAN (M.D.) – Allergy & Immunology Physician, NPI 1114100583

DR. SHALLA H KHAN (M.D.) is a healthcare provider. based in Gaithersburg, Maryland. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials M.D.. They hold a License No. D42194 (MD). The NPI Number for DR. SHALLA H KHAN (M.D.) is 1114100583

Main info

Female
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHALLA H KHAN (M.D.)
NPI
1114100583
Phone
(301) 527-9464
Address
849 QUINCE ORCHARD BLVD
Enumeration Date
8 December 2007
Last Update Date
20 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1977 (49 years ago)
PAC ID
5294794731
Group Practice PAC ID
4385682061
Professional Enrollment ID
I20041012000184
Address ID
MD214017015AN133XXHWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

129 ALLERGY/IMMUNOLOGY in MD

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Provider Addresses for DR. SHALLA H KHAN (M.D.)

  • 849, Quince Orchard Boulevard, Diamond Farms, Orchard Place, Gaithersburg, Montgomery County, Maryland, 20899, United States

    SUITE B

    GAITHERSBURG, MD 208781678

    Phone: (301) 527-9464

    Fax: (301) 527-9423

    Type: Mailing

  • 19328 ERIN TREE CT

    GAITHERSBURG, MD 20879

    Phone: (240) 271-0745

    Fax: (301) 527-9423

    Type: Mailing

  • 604 SOLAREX COURT

    SUITE 206

    FREDERICK, MD 21703

    Phone: (301) 663-0006

    Fax: (301) 663-0688

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-04-27 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-27

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: 2004-10-12

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
I20041008000870IAllergy/ImmunologyDCTBD
I20041012000184IAllergy/ImmunologyMDTBD

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
95004Test for allergy using allergenic extract52918$0
95165Professional service for preparation and provision of 1 or more antigens31016$0
95117Professional service for multiple injections of allergen14816$0
99214Established patient office or other outpatient visit, 30-39 minutes2926$0
99205New patient office or other outpatient visit, 60-74 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 20878)

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Provider's Procedures

DR. SHALLA H KHAN (M.D.) performs procedures in ALLERGY/IMMUNOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ALLERGY/IMMUNOLOGYMD94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration2013

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: 4385682061View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. SHALLA H KHAN (M.D.)?
For DR. SHALLA H KHAN (M.D.), use NPI 1114100583 as the unique 10-digit identifier.
Would DR. SHALLA H KHAN (M.D.) appear as active to a payer?
You can treat DR. SHALLA H KHAN (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. SHALLA H KHAN (M.D.)?
At a glance, DR. SHALLA H KHAN (M.D.) is tied to Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
Is DR. SHALLA H KHAN (M.D.) associated with Gaithersburg?
Public fields place DR. SHALLA H KHAN (M.D.) around Gaithersburg, Maryland. Always confirm the exact site before visiting.
Does DR. SHALLA H 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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