DR. WASIM KHAN (M.D.) – Pediatric Cardiology Physician, NPI 1063471316

DR. WASIM KHAN (M.D.) is a healthcare provider. based in El paso, Texas. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35.091565 (OH). The NPI Number for DR. WASIM KHAN (M.D.) is 1063471316

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. WASIM KHAN (M.D.)
NPI
1063471316
Phone
(915) 215-4480
Address
5130 GATEWAY BLVD E
Enumeration Date
23 March 2006
Last Update Date
9 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3305431000
Graduation Year
1991 (35 years ago)
PAC ID
9234116013
Group Practice PAC ID
0648183012
Professional Enrollment ID
I20080911000123
Address ID
OH443081063AK1XXXXSQXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

2,430 CARDIOVASCULAR DISEASE (CARDIOLOGY) in TX

Provider Addresses for DR. WASIM KHAN (M.D.)

  • 5130 GATEWAY BLVD E

    EL PASO, TX 799051608

    Phone: (915) 215-4480

    Fax: (915) 215-5386

    Type: Mailing

  • 5400 ALAMEDA AVE BLDG B

    EL PASO, TX 799052914

    Phone: (915) 242-8402

    Fax: (915) 242-8404

    Type: Location

  • 1 Perkins Sq

    Akron, OH 443081063

    Phone: (330) 543-8521

    Fax: (330) 543-3850

    Type: Location

  • 4845 Alameda Ave

    El Paso, TX 799052705

    Phone: (915) 215-5700

    Fax: (915) 215-8872

    Type: Location

  • Akron Children's Hospital, 1, Perkins Square, Downtown Akron, Canal District, Downtown, Akron, Summit County, Ohio, 44308, United States

    AKRON, OH 443081063

    Phone: (330) 543-8521

    Fax: (330) 543-3850

    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: 2008-09-11

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
I20080911000123ICardiovascular Disease (Cardiology)OHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79905)

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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: 0648183012View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. WASIM KHAN (M.D.)?
DR. WASIM KHAN (M.D.) — NPI 1063471316 — is the standard way to identify this listing.
Can I rely on DR. WASIM KHAN (M.D.) being an active provider?
As of the registry snapshot, DR. WASIM KHAN (M.D.) is marked active.
What taxonomy line describes DR. WASIM KHAN (M.D.)?
For research purposes, treat DR. WASIM KHAN (M.D.) as Pediatric Cardiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. WASIM KHAN (M.D.) on a map?
Expect El Paso, Texas as a primary anchor for DR. WASIM KHAN (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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