MAAZULLAH KHAN (DPM) – Podiatrist, NPI 1447993142
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
953 PODIATRY in OH
Provider Addresses for MAAZULLAH KHAN (DPM)
810 S OAK ST
FENTON, MI 484302919
Phone: (574) 341-9697
Type: Mailing
425 W 5TH ST
EAST LIVERPOOL, OH 439202405
Phone: (574) 341-9697
Type: Location
PO BOX 1848
MENA, AR 719531841
Phone: (888) 710-8220
Fax: (866) 573-0761
Type: Mailing
208 MCAULEY CT STE B
HOT SPRINGS, AR 719136344
Phone: (888) 710-8220
Fax: (866) 573-0761
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $1,663.
Total Amount is formed as General ($1,663) + Research ($0) + Ownership ($0) = $1,663.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Orthofix Medical, Inc. ($999).
Total Amount
$1,663
General + Research + Ownership
Payments
17
Total payment records
General Amount
$1,663
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Orthofix Medical, Inc. | $999 |
| Stryker Corporation | $257 |
| Smith+Nephew, Inc. | $133 |
| KCI USA, Inc. | $102 |
| Bioventus LLC | $91 |
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: 2025-12-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251208003756 | I | Podiatry | AR | TBD |
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.
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 48430)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AR | |
| Nurse Practitioner | AR | |
| Mental Health Counselor | AR | |
| Clinical Social Worker | AR | |
| Internal Medicine | AR | |
| Osteopathic Manipulative Medicine | AR | |
| Family Practice | AR | |
| Family Practice | AR | |
| Nurse Practitioner | AR | |
| - | AR |
Reviews
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