SHAH-NAZ H KHAN (MD) – Neurological Surgery Physician, NPI 1063615904

SHAH-NAZ H KHAN (MD) is a healthcare provider. based in Tulsa, Oklahoma. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. 4301062181 (MI). The NPI Number for SHAH-NAZ H KHAN (MD) is 1063615904

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
SHAH-NAZ H KHAN (MD)
NPI
1063615904
Phone
(918) 499-4000
Address
6475 S Yale Ave Ste 308
Enumeration Date
7 June 2007
Last Update Date
13 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2693817380
Graduation Year
1989 (37 years ago)
PAC ID
1254499809
Group Practice PAC ID
7315856077
Professional Enrollment ID
I20140529000839
Address ID
MI490481644KA1541XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

89 NEUROSURGERY in OK

Provider Addresses for SHAH-NAZ H KHAN (MD)

  • 6475 S Yale Ave Ste 308

    Tulsa, OK 741367802

    Phone: (918) 499-4000

    Fax: (918) 499-4001

    Type: Location

  • 1 Hurley Plz # 7W

    Flint, MI 485035902

    Phone: (810) 262-9355

    Fax: (810) 262-6341

    Type: Location

  • Linden Road, Flint Charter Township, Genesee County, Michigan, 48554, United States

    SUITE A

    FLINT, MI 485323498

    Phone: (810) 212-4100

    Fax: (810) 250-4514

    Type: Location

  • 1020 CHARTER DR STE C

    FLINT, MI 485323584

    Phone: (810) 212-4100

    Fax: (810) 250-4514

    Type: Mailing

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: 2023-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20090630000328INeurosurgeryMOTBD
I20140529000839INeurosurgeryMITBD
I20230320002965INeurosurgeryOKTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1712$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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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: 7315856077View full group profile
NameSpecialtyState
Nurse PractitionerMI
Internal MedicineMI
-MI
-IN
Gastroenterology, Internal MedicineMI
Nurse PractitionerMI
N E U R O L O G YMI
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseMI
Family PracticeMI
N E U R O L O G YGA

Reviews

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Frequently asked questions

Where can patients find SHAH-NAZ H KHAN (MD)'s NPI?
You can confirm SHAH-NAZ H KHAN (MD) with NPI 1063615904; it appears in the national provider directory.
Is SHAH-NAZ H KHAN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does SHAH-NAZ H KHAN (MD) treat or focus on?
Patients typically see SHAH-NAZ H KHAN (MD) under the specialty Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for SHAH-NAZ H KHAN (MD)?
We surface Tulsa, Oklahoma for SHAH-NAZ H KHAN (MD) based on available NPPES addresses.
What if Tulsa, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.