MUJTABA A. KHAN (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1629047857

MUJTABA A. KHAN (MD) is a healthcare provider. based in Chillicothe, Ohio. specializing in CARDIAC ELECTROPHYSIOLOGY, DIAGNOSTIC RADIOLOGY, CARDIAC SURGERY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 35.072389 (OH). The NPI Number for MUJTABA A. KHAN (MD) is 1629047857

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
MUJTABA A. KHAN (MD)
NPI
1629047857
Phone
(740) 779-4360
Address
272 Hospital Rd Ste 115
Enumeration Date
17 March 2006
Last Update Date
26 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7407794570
Graduation Year
1981 (45 years ago)
PAC ID
7517995038
Group Practice PAC ID
1153456579
Professional Enrollment ID
I20050727000191
Address ID
OH456019031CH272XXRDXX307

Contacts

Secure Messaging
adena.ctv@adena.medicity.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050727000191ICardiac ElectrophysiologyOHTBD
I20240117001942ICardiac ElectrophysiologyMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes210107$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report195126$0
99213Established patient office or other outpatient visit, 20-29 minutes15899$0
J2785Injection, regadenoson, 0.1 mg9425$0
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days8836$0
View full utilization report →

Insurance plans in this area (ZIP 45601)

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Provider's Procedures

MUJTABA A. KHAN (MD) performs procedures in CARDIAC ELECTROPHYSIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC ELECTROPHYSIOLOGYOH93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report191128

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: 1153456579View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Physician AssistantOH
O T O L A R Y N G O L O G YOH
Certified Nurse Midwife (Cnm)OH
Family PracticeOH
Thoracic SurgeryOH
Gastroenterology, Internal MedicineOH
Physician AssistantOH
Certified Registered Nurse Anesthetist (Crna)OH

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Frequently asked questions

How is MUJTABA A. KHAN (MD) identified in CMS data?
CMS-hosted NPPES data lists MUJTABA A. KHAN (MD) with NPI 1629047857.
Can I rely on MUJTABA A. KHAN (MD) being an active provider?
As of the registry snapshot, MUJTABA A. KHAN (MD) is marked active.
What taxonomy line describes MUJTABA A. KHAN (MD)?
For research purposes, treat MUJTABA A. KHAN (MD) as Clinical Cardiac Electrophysiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does MUJTABA A. KHAN (MD) serve?
MUJTABA A. KHAN (MD)'s listing highlights Chillicothe, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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