DR. REBECCA THIBODEAU KHAN (MD) – Obstetrics & Gynecology Physician, NPI 1770558504

DR. REBECCA THIBODEAU KHAN (MD) is a healthcare provider. based in Portsmouth, Virginia. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials MD. They hold a License No. 0101058934 (VA). The NPI Number for DR. REBECCA THIBODEAU KHAN (MD) is 1770558504

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. REBECCA THIBODEAU KHAN (MD)
NPI
1770558504
Phone
(757) 686-3508
Address
PO BOX 7068
Enumeration Date
23 February 2006
Last Update Date
18 September 2017

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
7575479294
Graduation Year
1997 (29 years ago)
PAC ID
2365346509
Group Practice PAC ID
5597664201
Professional Enrollment ID
I20031120000504
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. REBECCA THIBODEAU KHAN (MD)

  • Portsmouth Post Office, Heritage Avenue, Maplehaven, Portsmouth, Rockingham County, New Hampshire, 03801, United States

    PORTSMOUTH, VA 237070068

    Phone: (757) 686-3508

    Fax: (757) 686-0541

    Type: Mailing

  • 3802, Poplar Hill Road, Vacaro Apartments, Poplar Hill, Chesapeake, Virginia, 23321, United States

    SUITE C

    CHESAPEAKE, VA 233215531

    Phone: (757) 673-8383

    Fax: (757) 483-9350

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $1,169.

Total Amount is formed as General ($1,169) + Research ($0) + Ownership ($0) = $1,169.

Last reported payment date: 2023-05-23 • Largest payer in this snapshot: Roche Diagnostics Corporation ($1,169).

Total Amount

$1,169

General + Research + Ownership

Payments

1

Total payment records

General Amount

$1,169

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2003-11-20

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
I20031120000504IObstetrics/GynecologyVATBD

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 23707)

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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: 5597664201View full group profile
NameSpecialtyState
E N D O C R I N O L O G YVA
Internal MedicineVA
-VA
Internal MedicineVA
-NE
-VA
Endocrinology, Internal MedicineVA
Hospitalist, Family PracticeVA
-VA
-VA

Reviews

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Frequently asked questions

How is DR. REBECCA THIBODEAU KHAN (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. REBECCA THIBODEAU KHAN (MD) with NPI 1770558504.
Does CMS list DR. REBECCA THIBODEAU KHAN (MD) as active?
Yes — DR. REBECCA THIBODEAU KHAN (MD) is active in the NPI listing used on this page.
What healthcare role does DR. REBECCA THIBODEAU KHAN (MD) hold?
Scheduling teams often label DR. REBECCA THIBODEAU KHAN (MD) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. REBECCA THIBODEAU KHAN (MD) based?
DR. REBECCA THIBODEAU KHAN (MD) is tied to Portsmouth, Virginia in the data we show; additional addresses may exist on the full record.
Is the information about DR. REBECCA THIBODEAU KHAN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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