DR. NIDAH TALAL KHAN (M.D.) – Internal Medicine Physician, NPI 1629418850

DR. NIDAH TALAL KHAN (M.D.) is a healthcare provider. based in Pittsfield, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 257058 (MA). The NPI Number for DR. NIDAH TALAL KHAN (M.D.) is 1629418850

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. NIDAH TALAL KHAN (M.D.)
NPI
1629418850
Phone
(413) 447-2839
Address
725 NORTH STEET
Enumeration Date
2 July 2013
Last Update Date
7 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4137872575
Graduation Year
2003 (23 years ago)
PAC ID
7012299324
Group Practice PAC ID
3577821875
Professional Enrollment ID
I20170123000302
Address ID
MA011042368SP299XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

Provider Addresses for DR. NIDAH TALAL KHAN (M.D.)

  • 725 NORTH STEET

    DEPT OF MEDICINE

    PITTSFIELD, MA 01201

    Phone: (413) 447-2839

    Fax: (413) 447-2088

    Type: Mailing

  • 725 NORTH ST

    DEPT OF MEDICINE

    PITTSFIELD, MA 012014109

    Phone: (413) 447-2839

    Fax: (413) 447-2088

    Type: Location

  • 98 SHAKER ROAD

    EAST LONG MEADOW, MA 01028

    Phone: (413) 798-0301

    Fax: (413) 224-2685

    Type: Location

  • 299 CAREW ST. STE 234

    SPRINGFIELD, MA 01104

    Phone: (413) 787-2575

    Fax: (413) 787-2576

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 113 Open Payments records for all available years, with a total value of $2,244.

Total Amount is formed as General ($2,244) + Research ($0) + Ownership ($0) = $2,244.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($658).

Total Amount

$2,244

General + Research + Ownership

Payments

113

Total payment records

General Amount

$2,244

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2017-01-23

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
I20170123000302IInternal MedicineMATBD

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month11058$0
99214Established patient office or other outpatient visit, 30-39 minutes5042$0
G0444Annual depression screening, 5 to 15 minutes2121$0
G0442Annual alcohol misuse screening, 5 to 15 minutes2121$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2020$0
View full utilization report →

Insurance plans in this area (ZIP 01201)

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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: 3577821875View full group profile
NameSpecialtyState
Physician AssistantMA
Nurse PractitionerMA
Physician AssistantMA
Physician AssistantMA
Physician AssistantCT
Physician AssistantMA
Physician AssistantMA
Physician AssistantMA
Physician AssistantMA
Internal MedicineMA

Reviews

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Frequently asked questions

What is the standard ID for DR. NIDAH TALAL KHAN (M.D.) in the U.S.?
In the U.S., DR. NIDAH TALAL KHAN (M.D.) is identified by NPI 1629418850.
Should I treat DR. NIDAH TALAL KHAN (M.D.) as an active provider?
Patients and plans typically see DR. NIDAH TALAL KHAN (M.D.) as active in the national extract.
What does the directory say DR. NIDAH TALAL KHAN (M.D.) does?
Insurance directories may phrase it differently, but here DR. NIDAH TALAL KHAN (M.D.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. NIDAH TALAL KHAN (M.D.)?
DR. NIDAH TALAL KHAN (M.D.) is associated with Pittsfield, Massachusetts in the same public data insurers reference.
Why is information missing for DR. NIDAH TALAL KHAN (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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