ERUM KHAN (M.D.) – Psychiatry Physician, NPI 1164735619
Psychiatry Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
832 PSYCHIATRY in MO
Provider Addresses for ERUM KHAN (M.D.)
1450 E 10th St
Rolla, MO 654013648
Phone: (573) 364-7551
Fax: (573) 364-4898
Type: Location
1800 COMMUNITY
CLINTON, MO 647358804
Phone: (660) 885-8131
Type: Mailing
913 S PERSHING AVE
SALEM, MO 655601845
Phone: (888) 403-1071
Type: Location
227 Metro Dr
Jefferson City, MO 651091134
Phone: (888) 403-1071
Type: Location
320 Mac Blvd
Nevada, MO 647723990
Phone: (888) 403-1071
Fax: (417) 667-6515
Type: Location
1800 Community
Clinton, MO 647358804
Phone: (888) 403-1071
Fax: (660) 885-3690
Type: Location
1000 W Nifong Blvd Bldg 6
Columbia, MO 652035615
Phone: (888) 403-1071
Type: Location
206 S Mill St
Eldon, MO 650261864
Phone: (888) 403-1071
Type: Location
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: 2015-07-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150717002021 | I | Psychiatry | MO | 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 65401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E N T I S T | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Mental Health Counselor | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| P S Y C H I A T R Y | MO |
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