SHAHWAR KHAN (MD) – Family Medicine Physician, NPI 1093193971

SHAHWAR KHAN (MD) is a healthcare provider. based in Allen park, Michigan. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 4301115946 (MI). The NPI Number for SHAHWAR KHAN (MD) is 1093193971

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
SHAHWAR KHAN (MD)
NPI
1093193971
Phone
(313) 982-1370
Address
17500 FEDERAL DR
Enumeration Date
12 May 2015
Last Update Date
30 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5865820018
Graduation Year
2012 (14 years ago)
PAC ID
4183937808
Group Practice PAC ID
5799886313
Professional Enrollment ID
I20190121000243
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for SHAHWAR KHAN (MD)

  • 17500 FEDERAL DR

    ALLEN PARK, MI 481013652

    Phone: (313) 982-1370

    Fax: (313) 982-1376

    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)

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: 2024-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20230922002605IFamily PracticeIATBD
I20230922002782IFamily PracticeNETBD
I20230922002912IFamily PracticeKSTBD
I20231005003390IFamily PracticeILTBD
I20240404001564IFamily PracticeMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48101)

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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: 5799886313View full group profile

Reviews

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Frequently asked questions

Where can patients find SHAHWAR KHAN (MD)'s NPI?
You can confirm SHAHWAR KHAN (MD) with NPI 1093193971; it appears in the national provider directory.
Does this profile mean SHAHWAR KHAN (MD) is currently active?
Yes — SHAHWAR KHAN (MD) appears active in the national provider directory.
Can you summarize SHAHWAR KHAN (MD)'s specialty in plain language?
Clinically, the directory lists SHAHWAR KHAN (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place SHAHWAR KHAN (MD)?
The snapshot lists Allen Park, Michigan for SHAHWAR KHAN (MD); download NPPES for the complete set.
How can I contact SHAHWAR KHAN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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