DR. AFFAAN KHAN BANGASH (DO) – Diagnostic Radiology Physician, NPI 1063620540

DR. AFFAAN KHAN BANGASH (DO) is a healthcare provider. based in Mount clemens, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. 5101016886 (MI). The NPI Number for DR. AFFAAN KHAN BANGASH (DO) is 1063620540

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. AFFAAN KHAN BANGASH (DO)
NPI
1063620540
Phone
(630) 776-3318
Address
1000 HARRINGTON ST
Enumeration Date
18 May 2007
Last Update Date
23 February 2026

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
7186705447
Graduation Year
2004 (22 years ago)
PAC ID
3375728348
Group Practice PAC ID
2264324334
Professional Enrollment ID
I20240828002015
Address ID
NY113552205FL4500XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Digital endpointsOther names

1,650 DIAGNOSTIC RADIOLOGY in MI

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Provider Addresses for DR. AFFAAN KHAN BANGASH (DO)

  • McLaren Macomb, 1000, Harrington Street, Mount Clemens, Clinton Township, Macomb County, Michigan, 48043, United States

    MOUNT CLEMENS, MI 480432920

    Phone: (630) 776-3318

    Type: Location

  • 1381, Bison Lane, Hunters Ridge, Hoffman Estates, Hanover Township, Cook County, Illinois, 60192, United States

    HOFFMAN ESTATES, IL 60192

    Phone: (630) 776-3318

    Type: Mailing

  • 203 S Western Ave

    Tonasket, WA 988558803

    Phone: (509) 486-2151

    Fax: (509) 223-1640

    Type: Location

  • 1381 BISON LN

    HOFFMAN ESTATES, IL 601924554

    Phone: (630) 776-3318

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20110506000602IDiagnostic RadiologyFLTBD
I20180613000731IDiagnostic RadiologyILTBD
I20240828002015IDiagnostic RadiologyNYTBD
I20251205002092IDiagnostic RadiologyCATBD
I20251209002406IDiagnostic RadiologyDCTBD
I20260209002731IDiagnostic RadiologyWATBD

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
71045X-ray of chest, 1 view1,0591,022$0
70450Ct scan head or brain without contrast521511$0
72125Ct scan of upper spine without contrast211210$0
74176Ct scan of abdomen and pelvis without contrast209206$0
71275Ct scan of blood vessels of chest with contrast175175$0
View full utilization report →

Insurance plans in this area (ZIP 48043)

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Provider's Procedures

DR. AFFAAN KHAN BANGASH (DO) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMI71010X-ray of chest, 1 view, front863806
DIAGNOSTIC RADIOLOGYMI71250CT scan chest2424
DIAGNOSTIC RADIOLOGYMI73630X-ray of foot, minimum of 3 views1211
DIAGNOSTIC RADIOLOGYMI74177CT scan of abdomen and pelvis with contrast143143
DIAGNOSTIC RADIOLOGYMI93926Ultrasound study of arteries and arterial grafts of one leg or limited1111
DIAGNOSTIC RADIOLOGYMI93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers9996

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: 2264324334View full group profile
NameSpecialtyState
Emergency MedicineNY
P A T H O L O G YNY
Cardiovascular Disease (Cardiology)PA
P O D I A T R YNY
P O D I A T R YNY
Diagnostic RadiologyWI
-NY
Internal MedicineNY
Nurse PractitionerNY
-NY

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Frequently asked questions

How do I look up DR. AFFAAN KHAN BANGASH (DO) by NPI?
Use NPI 1063620540 when you need to reference DR. AFFAAN KHAN BANGASH (DO) in forms, claims, or directories.
Is DR. AFFAAN KHAN BANGASH (DO) currently active in the NPI registry?
CMS-published data lists DR. AFFAAN KHAN BANGASH (DO) as an active registrant.
What field does DR. AFFAAN KHAN BANGASH (DO) work in?
You can think of DR. AFFAAN KHAN BANGASH (DO) as practicing within Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. AFFAAN KHAN BANGASH (DO)?
We surface Mount Clemens, Michigan for DR. AFFAAN KHAN BANGASH (DO) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.