DR. RABIA MUMTAZ KHAN – Vascular & Interventional Radiology Physician, NPI 1730575580

DR. RABIA MUMTAZ KHAN is a healthcare provider. based in Bloomsburg, Pennsylvania. specializing in DIAGNOSTIC RADIOLOGY. They hold a License No. 036162958 (IL). The NPI Number for DR. RABIA MUMTAZ KHAN is 1730575580

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. RABIA MUMTAZ KHAN
NPI
1730575580
Phone
(650) 799-5213
Address
18109 CUB CIR
Enumeration Date
8 April 2015
Last Update Date
3 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6308984515
Graduation Year
2008 (18 years ago)
PAC ID
1850695149
Group Practice PAC ID
6800882374
Professional Enrollment ID
I20230517002019
Address ID
IL605047222AU2000XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,576 DIAGNOSTIC RADIOLOGY in PA

Provider Addresses for DR. RABIA MUMTAZ KHAN

  • 18109 CUB CIR

    BLOOMSBURG, PA 178158013

    Phone: (650) 799-5213

    Type: Mailing

  • 100 N ACADEMY AVE

    DANVILLE, PA 178229800

    Phone: (570) 271-6211

    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: 2026-01-07

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
I20230517002019IDiagnostic RadiologyILTBD
I20260107001497IDiagnostic RadiologyFLTBD

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
77067Screening mammography157157$0
77063Screening 3d breast mammography157157$0
71045X-ray of chest, 1 view123116$0
70450Ct scan head or brain without contrast8987$0
74177Ct scan of abdomen and pelvis with contrast3737$0
View full utilization report →

Insurance plans in this area (ZIP 17815)

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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: 6800882374View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
-IL
Diagnostic RadiologyIL
Diagnostic RadiologyIL
Diagnostic Radiology, Interventional RadiologyIL
Diagnostic RadiologyIL
Diagnostic RadiologyIL
Diagnostic RadiologyIL
Diagnostic RadiologyIL

Reviews

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Frequently asked questions

Can I cross-check DR. RABIA MUMTAZ KHAN using NPI 1730575580?
NPI 1730575580 belongs to DR. RABIA MUMTAZ KHAN; compare other details if you need extra assurance.
Is there an active status for DR. RABIA MUMTAZ KHAN?
For scheduling context, DR. RABIA MUMTAZ KHAN is shown as active in the registry.
What area of care is associated with DR. RABIA MUMTAZ KHAN?
DR. RABIA MUMTAZ KHAN's record emphasizes Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. RABIA MUMTAZ KHAN located near Bloomsburg?
DR. RABIA MUMTAZ KHAN currently maps to Bloomsburg, Pennsylvania in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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