DR. LAILA KHAN (D.O.) – Family Medicine Physician, NPI 1679924484

DR. LAILA KHAN (D.O.) is a healthcare provider. based in Tahlequah, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 6204 (OK). The NPI Number for DR. LAILA KHAN (D.O.) is 1679924484

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAILA KHAN (D.O.)
NPI
1679924484
Phone
Not provided
Address
606 S OAK AVE
Enumeration Date
23 June 2016
Last Update Date
2 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184583100
Graduation Year
2016 (10 years ago)
PAC ID
9638437221
Group Practice PAC ID
5799698742
Professional Enrollment ID
I20180104000317
Address ID
OK744642512TA100XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

Provider Addresses for DR. LAILA KHAN (D.O.)

  • 606 S OAK AVE

    TAHLEQUAH, OK 744645530

    Phone:

    Type: Mailing

  • 1400 E DOWNING ST

    TAHLEQUAH, OK 744643324

    Phone: (918) 456-0641

    Type: Location

  • 28916 S RANCH LN

    PARK HILL, OK 744512962

    Phone:

    Type: Mailing

  • 100 S BLISS AVE

    TAHLEQUAH, OK 744642512

    Phone: (918) 458-3100

    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: 2018-01-04

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
I20180104000317IFamily PracticeTXTBD

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
99284Emergency department visit with moderate level of medical decision making189176$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only119100$0
99283Emergency department visit with low level of medical decision making6058$0
99285Emergency department visit with high level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 74464)

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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: 5799698742View full group profile

Reviews

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Frequently asked questions

What is DR. LAILA KHAN (D.O.)'s NPI number?
DR. LAILA KHAN (D.O.)'s NPI is 1679924484 — the number used across U.S. healthcare to identify this provider.
Is DR. LAILA KHAN (D.O.) shown as active in public data?
Registry records indicate DR. LAILA KHAN (D.O.) maintains an active NPI.
What expertise is attributed to DR. LAILA KHAN (D.O.)?
DR. LAILA KHAN (D.O.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. LAILA KHAN (D.O.)?
Directory geography for DR. LAILA KHAN (D.O.) centers on Tahlequah, Oklahoma.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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