MR. MAHAMID ALI KHAN (DMD) – Dentist, NPI 1164424016
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. MAHAMID ALI KHAN (DMD)
966 W 21ST ST
CHICAGO, IL 606084511
Phone: (773) 254-1400
Fax: (312) 829-6375
Type: Mailing
5701, Delmar Boulevard, West End, Cabanne Place, City of Saint Louis, Missouri, 63108, United States
SAINT LOUIS, MO 631122617
Phone: (314) 367-7848
Fax: (314) 367-2985
Type: Mailing
5701 Delmar Blvd
Saint Louis, MO 631122617
Phone: (314) 367-7848
Fax: (314) 367-2985
Type: Location
6447 CERMAK RD
BERWYN, IL 604022311
Phone: (773) 254-1400
Fax: (312) 829-6375
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $1,461.
Total Amount is formed as General ($1,461) + Research ($0) + Ownership ($0) = $1,461.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Midmark Corporation ($1,443).
Total Amount
$1,461
General + Research + Ownership
Payments
3
Total payment records
General Amount
$1,461
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Midmark Corporation | $1,443 |
| Dentsply Sirona Inc | $18 |
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: 2021-12-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211215002425 | I | Dentist | IL | 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 60608)
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Reviews
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