MARTA KHAN (PA-C) – Surgical Physician Assistant, NPI 1356793921
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for MARTA KHAN (PA-C)
9055, Springbrook Drive Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55433, United States
COON RAPIDS, MN 554335841
Phone: (612) 871-1144
Type: Location
8301 Golden Valley Rd Ste 200
Golden Valley, MN 554274475
Phone: (763) 233-5755
Type: Location
9825 Hospital Dr, Ste 203
Maple Grove, MN 55369
Phone: (763) 233-5755
Type: Location
8301 GOLDEN VALLEY RD STE 200
GOLDEN VALLEY, MN 554274475
Phone: (763) 233-5755
Type: Mailing
3366 OAKDALE AVE N STE 150
ROBBINSDALE, MN 55422
Phone: (763) 233-5755
Fax: (763) 233-5782
Type: Location
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 $160.
Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.
Last reported payment date: 2023-07-28 • Largest payer in this snapshot: Kerecis Limited ($146).
Total Amount
$160
General + Research + Ownership
Payments
2
Total payment records
General Amount
$160
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $146 |
| Inspire Medical Systems, Inc. | $14 |
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: 2016-07-27
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 |
|---|---|---|---|---|
| I20160727003084 | I | Physician Assistant | MN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 70355 | X-ray of lower jaws, upper jaws and teeth | 41 | 26 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 22 | $0 |
Insurance plans in this area (ZIP 55433)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | MN | |
| Qualified Audiologist | MN | |
| O T O L A R Y N G O L O G Y | MN | |
| Qualified Audiologist | VA | |
| O T O L A R Y N G O L O G Y | MN | |
| Qualified Audiologist | MN | |
| Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery | MN | |
| Physician Assistant | MN | |
| O T O L A R Y N G O L O G Y | MN | |
| O T O L A R Y N G O L O G Y | MN |
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