NAHIDA SULTANA KHAN (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1154585271

NAHIDA SULTANA KHAN (MD) is a healthcare provider. based in Gillette, Wyoming. specializing in Geriatric Medicine (Internal Medicine) Physician. They hold the professional credentials MD. They hold a License No. 2015-02392 (NC). The NPI Number for NAHIDA SULTANA KHAN (MD) is 1154585271

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
NAHIDA SULTANA KHAN (MD)
NPI
1154585271
Phone
(307) 688-3636
Address
PO BOX 3011
Enumeration Date
17 July 2008
Last Update Date
28 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3076881000
Graduation Year
2007 (19 years ago)
PAC ID
8921222175
Group Practice PAC ID
2860392529
Professional Enrollment ID
I20161108001712

Contacts

Secure Messaging
cchwyo@cchwyo.sdhealthlink.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience89
Completeness85
Years active:17State licenses:14Other namesUpdated within 12 months

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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.

This can happen when there are no reportable CMS Open Payments records.

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151228001185IGeriatric MedicineNCTBD
I20221201002108IInternal MedicineNYTBD
I20230323001030IInternal MedicineTNTBD
I20230324000225IInternal MedicineVATBD
I20230324001510IInternal MedicineLATBD
I20230324001782IInternal MedicineTXTBD
I20230328002650IInternal MedicineKYTBD

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
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes8237$0
99202New patient office or other outpatient visit, 15-29 minutes5151$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes4137$0
View full utilization report →

Insurance plans in this area (ZIP 82717)

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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: 2860392529View full group profile
NameSpecialtyState
Radiation OncologyIL
-WY
Internal MedicineIL
Emergency MedicineND
-WY
-WY
Clinical Social WorkerWY
Orthopedic SurgeryWY
Nurse PractitionerWY
Certified Registered Nurse Anesthetist (Crna)WY

Reviews

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Frequently asked questions

How do payers reference NAHIDA SULTANA KHAN (MD)?
For NAHIDA SULTANA KHAN (MD), use NPI 1154585271 as the unique 10-digit identifier.
Active or inactive — what applies to NAHIDA SULTANA KHAN (MD)?
You should see NAHIDA SULTANA KHAN (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to NAHIDA SULTANA KHAN (MD)?
NAHIDA SULTANA KHAN (MD)'s specialty line reads Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is NAHIDA SULTANA KHAN (MD) located near Gillette?
NAHIDA SULTANA KHAN (MD) currently maps to Gillette, Wyoming in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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