DR. AMJAD RAZA KHAN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1104481159

DR. AMJAD RAZA KHAN (DPM) is a healthcare provider. based in Brownstown, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5901400545 (MI). The NPI Number for DR. AMJAD RAZA KHAN (DPM) is 1104481159

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMJAD RAZA KHAN (DPM)
NPI
1104481159
Phone
(734) 250-0427
Address
22335 NIXON AVE
Enumeration Date
6 May 2019
Last Update Date
18 November 2024

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
2488086012
Graduation Year
2019 (7 years ago)
PAC ID
5193261345
Group Practice PAC ID
9739415605
Professional Enrollment ID
I20240724000294
Address ID
MI480843535TR1800XRDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,974 PODIATRY in NY

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Provider Addresses for DR. AMJAD RAZA KHAN (DPM)

  • 22335 NIXON AVE

    BROWNSTOWN, MI 481938251

    Phone: (734) 250-0427

    Type: Mailing

  • NYC Health + Hospitals/Bellevue, 462, 1st Avenue, Kips Bay, Manhattan Community Board 6, Manhattan, New York County, New York, 10010, United States

    462 FIRST AVENUE

    NEW YORK, NY 10016

    Phone: (212) 562-4891

    Type: Location

  • ATLAS MEDICAL GROUP

    245 E WARWICK DR

    ALMA, MI 48801

    Phone: (989) 463-2150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $1,297.

Total Amount is formed as General ($1,297) + Research ($0) + Ownership ($0) = $1,297.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Stryker Corporation ($1,010).

Total Amount

$1,297

General + Research + Ownership

Payments

21

Total payment records

General Amount

$1,297

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

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: 2024-07-24

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
I20240724000294IPodiatryMITBD

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 48193)

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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: 9739415605View full group profile
NameSpecialtyState
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P O D I A T R YNY
P O D I A T R YMI
P O D I A T R YMI
P O D I A T R YMI
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Reviews

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Frequently asked questions

What is the standard ID for DR. AMJAD RAZA KHAN (DPM) in the U.S.?
In the U.S., DR. AMJAD RAZA KHAN (DPM) is identified by NPI 1104481159.
Should I treat DR. AMJAD RAZA KHAN (DPM) as an active provider?
Patients and plans typically see DR. AMJAD RAZA KHAN (DPM) as active in the national extract.
Which specialty label fits DR. AMJAD RAZA KHAN (DPM)?
NPPES ties DR. AMJAD RAZA KHAN (DPM) to Foot & Ankle Surgery Podiatrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. AMJAD RAZA KHAN (DPM) tied to Brownstown, Michigan?
If you are local to Brownstown, Michigan, DR. AMJAD RAZA KHAN (DPM) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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