MUJTABA A. KHAN (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1629047857
Clinical Cardiac Electrophysiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
218 CARDIAC ELECTROPHYSIOLOGY in OH
Provider Addresses for MUJTABA A. KHAN (MD)
272 Hospital Rd Ste 115
Chillicothe, OH 456019031
Phone: (740) 779-4360
Fax: (740) 779-4369
Type: Location
North Main Street, Dayton, Montgomery County, Ohio, 45405, United States
STE 50
DAYTON, OH 454152558
Phone: (937) 424-5986
Fax: (937) 424-5989
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $3,559.
Total Amount is formed as General ($3,559) + Research ($0) + Ownership ($0) = $3,559.
Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Boston Scientific Corporation ($2,089).
Total Amount
$3,559
General + Research + Ownership
Payments
35
Total payment records
General Amount
$3,559
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $2,089 |
| Medtronic, Inc. | $1,248 |
| Novartis Pharmaceuticals Corporation | $67 |
| AstraZeneca Pharmaceuticals LP | $53 |
| E.R. Squibb & Sons, L.L.C. | $50 |
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: 2024-01-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050727000191 | I | Cardiac Electrophysiology | OH | TBD |
| I20240117001942 | I | Cardiac Electrophysiology | MI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 210 | 107 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 195 | 126 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 158 | 99 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 94 | 25 | $0 |
| 93296 | Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 88 | 36 | $0 |
Insurance plans in this area (ZIP 45601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIAC ELECTROPHYSIOLOGY | OH | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 191 | 128 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| Physician Assistant | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| Certified Nurse Midwife (Cnm) | OH | |
| Family Practice | OH | |
| Thoracic Surgery | OH | |
| Gastroenterology, Internal Medicine | OH | |
| Physician Assistant | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH |
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