KHAN JAVAN NEDD (M.D.) – Internal Medicine Physician, NPI 1043284219

KHAN JAVAN NEDD (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 4301406762 (MI). The NPI Number for KHAN JAVAN NEDD (M.D.) is 1043284219

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
KHAN JAVAN NEDD (M.D.)
NPI
1043284219
Phone
(616) 954-0600
Address
3230 EAGLE PARK DR NE
Enumeration Date
15 February 2006
Last Update Date
9 February 2016

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
6169540600
Graduation Year
1986 (40 years ago)
PAC ID
2062307432
Group Practice PAC ID
0840185203
Professional Enrollment ID
I20041124000489
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KHAN JAVAN NEDD (M.D.)

  • 3230, Eagle Park Drive Northeast, Eaglecrest Office Park, Grand Rapids Charter Township, Kent County, Michigan, 49525, United States

    SUITE 101

    GRAND RAPIDS, MI 495257007

    Phone: (616) 954-0600

    Fax: (616) 954-1675

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $690.

Total Amount is formed as General ($690) + Research ($0) + Ownership ($0) = $690.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Gilead Sciences, Inc. ($134).

Total Amount

$690

General + Research + Ownership

Payments

22

Total payment records

General Amount

$690

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

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: 2004-11-24

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
I20041124000489IInternal MedicineMITBD

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
J3380Injection, vedolizumab, 1 mg4,20014$0
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less7551$0
96366Infusion into a vein for therapy, prevention, or diagnosis, each additional hour4614$0
96372Injection of drug or substance under skin or into muscle2624$0
96415Administration of chemotherapy into vein, each additional hour1611$0
View full utilization report →

Insurance plans in this area (ZIP 49525)

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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: 0840185203View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerIN
Nurse PractitionerMI
-MI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What number should I use to identify KHAN JAVAN NEDD (M.D.) for billing?
Administrative and clinical systems typically use NPI 1043284219 for KHAN JAVAN NEDD (M.D.).
Does the public listing show KHAN JAVAN NEDD (M.D.) as active?
KHAN JAVAN NEDD (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does KHAN JAVAN NEDD (M.D.) provide?
KHAN JAVAN NEDD (M.D.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to KHAN JAVAN NEDD (M.D.)?
The directory associates KHAN JAVAN NEDD (M.D.) with Grand Rapids, Michigan. Check all listed addresses for suites or satellite offices.
Why is information missing for KHAN JAVAN NEDD (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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