NAHIDA SULTANA KHAN (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1154585271
Geriatric Medicine (Internal Medicine) Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for NAHIDA SULTANA KHAN (MD)
PO BOX 3011
GILLETTE, WY 827173011
Phone: (307) 688-3636
Fax: (307) 688-1420
Type: Mailing
Campbell County Health, 501, South Burma Avenue, Gillette, Campbell County, Wyoming, 82716, United States
GILLETTE, WY 82716
Phone: (307) 688-3636
Fax: (307) 688-7920
Type: Location
501 S Burma Ave
Gillette, WY 82716
Phone: (307) 688-3636
Fax: (307) 688-7920
Type: Location
2121 S Oneida St Ste 626
Denver, CO 802242555
Phone: (832) 604-3771
Type: Location
970 frontage Rd
I-20 W
Jackson, MS 39201
Phone: (832) 604-3771
Type: Location
3503 Memorial Pkwy NW Ste D
Huntsville, AL 358102445
Phone: (832) 604-3771
Type: Location
3500 LATOUCHE ST STE 245A
ANCHORAGE, AK 995084260
Phone: (646) 240-1590
Type: Location
3965 52ND ST APT 5E
WOODSIDE, NY 113773213
Phone: (646) 240-1590
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.
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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: 2023-03-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20151228001185 | I | Geriatric Medicine | NC | TBD |
| I20221201002108 | I | Internal Medicine | NY | TBD |
| I20230323001030 | I | Internal Medicine | TN | TBD |
| I20230324000225 | I | Internal Medicine | VA | TBD |
| I20230324001510 | I | Internal Medicine | LA | TBD |
| I20230324001782 | I | Internal Medicine | TX | TBD |
| I20230328002650 | I | Internal Medicine | KY | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 82 | 37 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 51 | 51 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 41 | 37 | $0 |
Insurance plans in this area (ZIP 82717)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | IL | |
| - | WY | |
| Internal Medicine | IL | |
| Emergency Medicine | ND | |
| - | WY | |
| - | WY | |
| Clinical Social Worker | WY | |
| Orthopedic Surgery | WY | |
| Nurse Practitioner | WY | |
| Certified Registered Nurse Anesthetist (Crna) | WY |
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