MOHAMMAD SHAHBAZ KHAN (MD) – Surgery Physician, NPI 1063520062

MOHAMMAD SHAHBAZ KHAN (MD) is a healthcare provider. based in Cleburne, Texas. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. Q1641 (TX). The NPI Number for MOHAMMAD SHAHBAZ KHAN (MD) is 1063520062

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMMAD SHAHBAZ KHAN (MD)
NPI
1063520062
Phone
(817) 556-5570
Address
203 WALLS DR STE 104
Enumeration Date
29 August 2006
Last Update Date
11 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5598566180
Graduation Year
1997 (29 years ago)
PAC ID
9335140888
Group Practice PAC ID
3274580972
Professional Enrollment ID
I20160504000964
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MOHAMMAD SHAHBAZ KHAN (MD)

  • 203 WALLS DR STE 104

    CLEBURNE, TX 760337022

    Phone: (817) 556-5570

    Type: Location

  • Catskill Regional Medical Center, 68, Harris Bushville Road, Town of Bethel, Sullivan County, New York, 12742, United States

    HARRIS, NY 12742

    Phone: (845) 791-7828

    Fax: (845) 794-3347

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Kerecis Limited ($40).

Total Amount

$77

General + Research + Ownership

Payments

4

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Kerecis Limited$40
Davol Inc.$37
View all Open Payments →|Open Payments Risk Radar →

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: 2021-11-22

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
I20070125000302IGeneral SurgeryNYTBD
I20211122001387IGeneral SurgeryTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1611$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 76033)

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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: 3274580972View full group profile
NameSpecialtyState
Family PracticeCA
-CA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Internal MedicineCA

Reviews

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Frequently asked questions

What is the standard ID for MOHAMMAD SHAHBAZ KHAN (MD) in the U.S.?
In the U.S., MOHAMMAD SHAHBAZ KHAN (MD) is identified by NPI 1063520062.
Is MOHAMMAD SHAHBAZ KHAN (MD)'s NPI status active today?
Active status means MOHAMMAD SHAHBAZ KHAN (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits MOHAMMAD SHAHBAZ KHAN (MD)?
NPPES ties MOHAMMAD SHAHBAZ KHAN (MD) to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MOHAMMAD SHAHBAZ KHAN (MD)?
MOHAMMAD SHAHBAZ KHAN (MD) shows a connection to Cleburne, Texas in registry-derived data.
Why is information missing for MOHAMMAD SHAHBAZ KHAN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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