DR. MOHAMMAD ATIF KHALID (M.D.) – Diagnostic Radiology Physician, NPI 1073503058

DR. MOHAMMAD ATIF KHALID (M.D.) is a healthcare provider. based in Fanwood, New Jersey. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 233108 (NY). The NPI Number for DR. MOHAMMAD ATIF KHALID (M.D.) is 1073503058

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOHAMMAD ATIF KHALID (M.D.)
NPI
1073503058
Phone
(585) 410-6266
Address
64 SHADY LN
Enumeration Date
21 October 2005
Last Update Date
21 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9729200115
Graduation Year
1999 (27 years ago)
PAC ID
7214915024
Group Practice PAC ID
3072836600
Professional Enrollment ID
I20231019000886
Address ID
TX750822807RI4140XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,259 DIAGNOSTIC RADIOLOGY in NJ

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Provider Addresses for DR. MOHAMMAD ATIF KHALID (M.D.)

  • 64, Shady Lane, Fanwood, Union County, New Jersey, 07023, United States

    FANWOOD, NJ 070231719

    Phone: (585) 410-6266

    Mailing address matches the actual address.

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: 2023-10-19

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
I20231019000886IDiagnostic RadiologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07023)

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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: 3072836600View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MOHAMMAD ATIF KHALID (M.D.)?
DR. MOHAMMAD ATIF KHALID (M.D.) — NPI 1073503058 — is the standard way to identify this listing.
Can I rely on DR. MOHAMMAD ATIF KHALID (M.D.) being an active provider?
As of the registry snapshot, DR. MOHAMMAD ATIF KHALID (M.D.) is marked active.
What healthcare role does DR. MOHAMMAD ATIF KHALID (M.D.) hold?
Scheduling teams often label DR. MOHAMMAD ATIF KHALID (M.D.) under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MOHAMMAD ATIF KHALID (M.D.) on a map?
Expect Fanwood, New Jersey as a primary anchor for DR. MOHAMMAD ATIF KHALID (M.D.) unless the record lists multiple sites.
Is the information about DR. MOHAMMAD ATIF KHALID (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."