FATIMA KHAN (MD) – Hospitalist Physician, NPI 1083687669

FATIMA KHAN (MD) is a healthcare provider. based in Bridgeton, Missouri. specializing in Hospitalist Physician. They hold the professional credentials MD. They hold a License No. 101132 (MO). The NPI Number for FATIMA KHAN (MD) is 1083687669

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
FATIMA KHAN (MD)
NPI
1083687669
Phone
(314) 317-0600
Address
12303 De Paul Dr
Enumeration Date
13 February 2006
Last Update Date
2 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3143446000
Graduation Year
1986 (40 years ago)
PAC ID
9638201874
Group Practice PAC ID
1557533734
Professional Enrollment ID
I20100723000008

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for FATIMA KHAN (MD)

  • 12303 De Paul Dr

    Bridgeton, MO 630442512

    Phone: (314) 317-0600

    Fax: (314) 317-0606

    Type: Location

  • 12101, Woodcrest Executive Drive, Creve Coeur, Saint Louis County, Missouri, 63141, United States

    SUITE 210

    SAINT LOUIS, MO 631415047

    Phone: (314) 317-0600

    Fax: (314) 317-0606

    Type: Mailing

  • Paul Mayer Avenue, Bridgeton, Saint Louis County, Missouri, 63044, United States

    BRIDGETON, MO 630442512

    Phone: (314) 317-0600

    Fax: (314) 317-0606

    Type: Location

  • 3015 N BALLAS RD

    SAINT LOUIS, MO 631312329

    Phone: (314) 996-5772

    Type: Mailing

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: 2010-07-23

PECOS data refreshed: 2026-06-15

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
I20100723000008IInternal MedicineMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes615245$0
99239Hospital discharge day management, more than 30 minutes184180$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes169118$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2626$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 63044)

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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: 1557533734View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerMO
Internal Medicine, EndocrinologyMO
Internal MedicineIL
Internal MedicineMO
Hospitalist, Pediatric MedicineIL
Internal MedicineMO
Hospitalist, Family PracticeMO
Internal MedicinePA
Hospitalist, Internal MedicineMO

Reviews

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Frequently asked questions

Is there an official ID for FATIMA KHAN (MD) in U.S. healthcare records?
The official identifier for FATIMA KHAN (MD) is NPI 1083687669.
Is there an active status for FATIMA KHAN (MD)?
For scheduling context, FATIMA KHAN (MD) is shown as active in the registry.
What kind of doctor is FATIMA KHAN (MD)?
FATIMA KHAN (MD) is associated with Hospitalist Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with FATIMA KHAN (MD)?
Directory geography for FATIMA KHAN (MD) centers on Bridgeton, Missouri.
Does FATIMA KHAN (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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