TONYA A KHAN (P.A.) – Physician Assistant, NPI 1619078375

TONYA A KHAN (P.A.) is a healthcare provider. based in Fort worth, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA04138 (TX). The NPI Number for TONYA A KHAN (P.A.) is 1619078375

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
TONYA A KHAN (P.A.)
NPI
1619078375
Phone
Not provided
Address
1300 W TERRELL AVE STE 300
Enumeration Date
26 September 2006
Last Update Date
25 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8176094114
Graduation Year
2004 (22 years ago)
PAC ID
1456312768
Group Practice PAC ID
8224333844
Professional Enrollment ID
I20041020000873
Address ID
TX760866379WE1841XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for TONYA A KHAN (P.A.)

  • 1300 W TERRELL AVE STE 300

    FORT WORTH, TX 761042822

    Phone:

    Type: Mailing

  • 1841 MARTIN DRIVE

    SUITE 200

    WEATHERFORD, TX 760866379

    Phone: (817) 609-4114

    Fax: (817) 609-4116

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 147 Open Payments records for all available years, with a total value of $5,132.

Total Amount is formed as General ($5,132) + Research ($0) + Ownership ($0) = $5,132.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($815).

Total Amount

$5,132

General + Research + Ownership

Payments

147

Total payment records

General Amount

$5,132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2004-10-20

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
I20041020000873IPhysician AssistantTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths26850$0
99213Established patient office or other outpatient visit, 20-29 minutes160133$0
17000Destruction of precancer skin growth, 1 growth9173$0
99203New patient office or other outpatient visit, 30-44 minutes7777$0
11102Biopsy of related skin growth, first growth6663$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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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: 8224333844View full group profile
NameSpecialtyState
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

What unique ID ties claims to TONYA A KHAN (P.A.)?
NPI 1619078375 is assigned to TONYA A KHAN (P.A.) under the national enumeration system.
Is TONYA A KHAN (P.A.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does TONYA A KHAN (P.A.) list a primary specialty?
If you are matching referrals, note Physician Assistant for TONYA A KHAN (P.A.). Clinical services aligned with this taxonomy classification.
What location metadata exists for TONYA A KHAN (P.A.)?
The page summarizes Fort Worth, Texas for TONYA A KHAN (P.A.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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