IBRAHIM KHANSA (MD) – Plastic and Reconstructive Surgery Physician, NPI 1649567769
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
589 PLASTIC AND RECONSTRUCTIVE SURGERY in TX
Provider Addresses for IBRAHIM KHANSA (MD)
700 CHILDRENS DR
COLUMBUS, OH 432052664
Phone: (614) 722-2000
Type: Mailing
3305 NORTHLAND DR STE 210
AUSTIN, TX 787314988
Phone: (512) 615-6566
Fax: (281) 962-8002
Type: Mailing
455 Executive Campus Dr
Westerville, OH 430828870
Phone: (614) 722-6200
Type: Location
4363 All Seasons Dr
Hilliard, OH 430262050
Phone: (614) 722-6200
Type: Location
555 S 18th St
Columbus, OH 432052654
Phone: (614) 722-6200
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: 2023-10-11
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 |
|---|---|---|---|---|
| I20170720001197 | I | Plastic And Reconstructive Surgery | CA | TBD |
| I20231011004065 | I | Plastic And Reconstructive Surgery | TX | 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 43205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | TX | |
| Pediatric Medicine, Allergy/Immunology | TX | |
| Pediatric Medicine, Pulmonary Disease | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery | TX | |
| - | TX | |
| - | TX | |
| U R O L O G Y | AR | |
| Hematology/Oncology, Pediatric Medicine | TX | |
| - | TX |
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