DR. JIBRAN KHAN (M.D.) – Internal Medicine Physician, NPI 1902803935
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,158 INTERNAL MEDICINE in RI
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Provider Addresses for DR. JIBRAN KHAN (M.D.)
3, Shady Rose Lane, Manville, Lincoln, Providence County, Rhode Island, 02838, United States
MANVILLE, RI 028381044
Phone: (401) 765-1200
Fax: (410) 765-1212
Type: Mailing
20, Cumberland Hill Road, Hamlet, Woonsocket, Providence County, Rhode Island, 02895, United States
SUITE 208
WOONSOCKET, RI 028954854
Phone: (401) 765-1200
Fax: (401) 765-1212
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $773.
Total Amount is formed as General ($773) + Research ($0) + Ownership ($0) = $773.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Mylan Specialty L.P. ($129).
Total Amount
$773
General + Research + Ownership
Payments
36
Total payment records
General Amount
$773
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mylan Specialty L.P. | $129 |
| Exact Sciences Corporation | $121 |
| ABBVIE INC. | $115 |
| AstraZeneca Pharmaceuticals LP | $44 |
| Davol Inc. | $43 |
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: 2004-10-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041019000141 | I | Internal Medicine | RI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 204 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 158 | 50 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 31 | 31 | $0 |
| 99496 | Transitional care management services for problem of high complexity | 20 | 13 | $0 |
Insurance plans in this area (ZIP 02838)
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