DR. MUSTAFA ALI KHAN (MD) – Neurology Physician, NPI 1861489601
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
28 NEUROPSYCHIATRY in VA
Provider Addresses for DR. MUSTAFA ALI KHAN (MD)
245 Medical Park Dr
Marion, VA 243541100
Phone: (276) 378-1000
Type: Location
6000 Hospital Dr
Hannibal, MO 634016887
Phone: (573) 248-1300
Type: Location
100, Nicolls Road, Stony Brook, Town of Brookhaven, Suffolk County, New York, 11794, United States
STONY BROOK, NY 11794
Phone: (631) 444-8118
Type: Mailing
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 376042192
Phone: (423) 302-6565
Type: Mailing
127 Health Care Dr Ste 3
Pennington Gap, VA 242772853
Phone: (423) 230-5000
Type: Location
300 Med Tech Pkwy
Johnson City, TN 376042277
Phone: (423) 302-1000
Type: Location
1990 Holton Ave E
Big Stone Gap, VA 242193350
Phone: (423) 230-8200
Type: Location
312 Hospital Dr
Clintwood, VA 242286786
Phone: (276) 926-0300
Type: Location
58 Carroll St
Lebanon, VA 242664510
Phone: (276) 883-8000
Type: Location
100 15th St NW
Norton, VA 242731616
Phone: (423) 630-7001
Type: Location
515 22nd Ave
Monroe, WI 535661569
Phone: (608) 324-1000
Type: Location
3000 New Bern Ave
Raleigh, NC 276101231
Phone: (919) 350-8000
Type: Location
851 Locust St
Rogersville, TN 378572407
Phone: (423) 921-7000
Type: Location
1102 W 32nd St
Joplin, MO 648043503
Phone: (417) 347-4570
Type: Location
1000 Johnson Ferry Rd
Atlanta, GA 303421606
Phone: (404) 851-8000
Fax: (404) 303-3759
Type: Location
1701 S Creasy Ln
Lafayette, IN 479054972
Phone: (765) 502-4400
Fax: (765) 502-4401
Type: Location
130 W Ravine Rd
Kingsport, TN 376603837
Phone: (423) 224-4000
Type: Location
2000 Brookside Dr
Kingsport, TN 376604627
Phone: (423) 857-7000
Type: Location
12200 Warwick Blvd Ste 110
Newport News, VA 236012344
Phone: (757) 534-5100
Type: Location
16000 Johnston Memorial Dr
Abingdon, VA 242117664
Phone: (276) 258-1000
Type: Location
400 N State Of Franklin Rd
Johnson City, TN 376046035
Phone: (423) 323-6900
Type: Location
1 Medical Park Blvd
Bristol, TN 376207430
Phone: (423) 844-1121
Type: Location
1901 S Shady St
Mountain City, TN 376832021
Phone: (423) 727-1100
Type: Location
2030 Temple Hill Rd
Erwin, TN 376508721
Phone: (423) 743-3141
Type: Location
1501 W Elk Ave
Elizabethton, TN 376432874
Phone: (423) 542-1300
Type: Location
1420 Tusculum Blvd
Greeneville, TN 377454279
Phone: (423) 787-5000
Type: Location
1519 Main St
Sneedville, TN 378693657
Phone: (423) 733-5000
Type: Location
365 Broadway
Kingston, NY 124015151
Phone: (845) 331-5165
Fax: (845) 331-6238
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 $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $22 |
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: 2026-01-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 11 Medicare enrollment records; no due dates published yet.
Enrollment records
11
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 |
|---|---|---|---|---|
| I20080918000549 | I | Neurology | NY | TBD |
| I20231226001684 | I | Neurology | MI | TBD |
| I20240423003357 | I | Neurology | MO | TBD |
| I20240516002800 | I | Neurology | TN | TBD |
| I20240520002549 | I | Neurology | VA | TBD |
| I20240709003568 | I | Neuropsychiatry | IN | TBD |
| I20240923002797 | I | Neurology | IL | TBD |
| I20241114001543 | I | Neurology | MS | TBD |
| I20250102000797 | I | Neurology | NC | TBD |
| I20250630000948 | I | Neurology | GA | TBD |
| I20260126000881 | I | Neurology | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 24354)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Internal Medicine | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| General Surgery | NY | |
| Nurse Practitioner | NY | |
| Physician Assistant | NY | |
| Nurse Practitioner | NY | |
| - | OH |
Reviews
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