MONIRUZZAMAN KHAN (MD) – General Practice Physician, NPI 1477592905

MONIRUZZAMAN KHAN (MD) is a healthcare provider. based in Hamtramck, Michigan. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. MK057394 (MI). The NPI Number for MONIRUZZAMAN KHAN (MD) is 1477592905

Main info

Male
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
MONIRUZZAMAN KHAN (MD)
NPI
1477592905
Phone
(313) 366-4000
Address
11402 Joseph Campau St
Enumeration Date
6 June 2006
Last Update Date
13 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1978 (48 years ago)
PAC ID
5597702324
Professional Enrollment ID
I20050414000457
Address ID
MI480912590WA4402XRDXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,204 PEDIATRIC MEDICINE in MI

Provider Addresses for MONIRUZZAMAN KHAN (MD)

  • 11402 Joseph Campau St

    Hamtramck, MI 482123041

    Phone: (313) 366-4000

    Fax: (313) 366-4001

    Type: Location

  • 4402, East 9 Mile Road, Warren, Macomb County, Michigan, 48091, United States

    WARREN, MI 480912590

    Phone: (586) 200-0611

    Fax: (586) 381-7055

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($33).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$33
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: 2005-04-14

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
I20050414000457IPediatric 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
99213Established patient office or other outpatient visit, 20-29 minutes15034$0
99214Established patient office or other outpatient visit, 30-39 minutes5323$0
36415Insertion of needle into vein for collection of blood sample3924$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional1814$0
92552Test for hearing various pitches using earphone1514$0
View full utilization report →

Insurance plans in this area (ZIP 48212)

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Reviews

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Frequently asked questions

Does MONIRUZZAMAN KHAN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MONIRUZZAMAN KHAN (MD) uses 1477592905.
Does the file indicate MONIRUZZAMAN KHAN (MD) is practicing under active NPI?
Directory data currently reports MONIRUZZAMAN KHAN (MD) as active.
What is MONIRUZZAMAN KHAN (MD)'s specialty?
The listing groups MONIRUZZAMAN KHAN (MD) with General Practice Physician. Clinical services aligned with this taxonomy classification.
Does MONIRUZZAMAN KHAN (MD) list a practice location?
Patients near Hamtramck, Michigan may find MONIRUZZAMAN KHAN (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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