Active NPI 1417999335 Individual Practitioner Male Practitioner

Dr. Ehtisham R. Khan , MD

Internal Medicine • Madison, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ehtisham Khan, MD is a certified Internal Medicine practicing in Madison, AL. With approximately 43 years of clinical experience since completing medical education in 1983, Dr. Khan delivers high-quality medical care to the local community at 8371 HIGHWAY 72 W.

Dr. Khan is affiliated with West Madison Urgent And Primary Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8371 Highway 72 W
Suite 104

Madison, AL 357589505

Telephone 2562655970

Fax 2568175956

Associated Practice Facility / Clinic

🏢 Madison Family Care, P.c Facility NPI 1356511695

Medicare Profile & Education

Medical School

Other

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Madison, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +15.3 yrs vs City Avg

City Avg: 27.7 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

13 Specialists

Practicing in Madison, AL (1784 Statewide)

Telehealth Adoption Rate

15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Khan (43 Years) 43 Yrs

Madison Specialty Average (27.7 Years) 27.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	79	$231.18	$110.78
J1100 Injection, dexamethasone sodium phosphate, 1 mg	73	15	$1.00	$0.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$174.47	$98.63
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	52	49	$60.00	$34.62
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	42	40	$25.00	$16.20
87804 Detection test by immunoassay with direct visual observation for influenza virus	32	14	$25.00	$16.22
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	24	24	$215.00	$139.78
81003 Automated urinalysis test	24	18	$10.00	$2.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	17	$30.00	$12.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$248.67	$151.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$162.00	$100.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	42	$186.00	$112.62
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	39	38	$60.00	$34.62
87804 Detection test by immunoassay with direct visual observation for influenza virus	36	17	$25.00	$16.22
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	33	29	$215.00	$139.78
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	25	24	$25.00	$16.20
81003 Automated urinalysis test	22	19	$10.00	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$131.00	$77.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$242.00	$155.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	588	259	$145.07	$120.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	143	143	$165.00	$122.63
99213 Established patient office or other outpatient visit, typically 15 minutes	99	76	$134.88	$86.13
90662 Influenza vaccine split virus, preservative free	46	45	$100.00	$65.42
G0008 Administration of influenza virus vaccine	45	44	$32.00	$27.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$283.43	$159.72
81003 Automated urinalysis test	17	15	$6.71	$2.22
G0009 Administration of pneumococcal vaccine	15	15	$32.00	$27.70
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	15	14	$80.00	$50.83
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$21.62	$16.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	741	257	$145.00	$124.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	161	161	$165.00	$127.79
99213 Established patient office or other outpatient visit, typically 15 minutes	97	78	$135.00	$87.84
G0008 Administration of influenza virus vaccine	73	70	$32.00	$15.85
90662 Influenza vaccine split virus, preservative free	72	69	$83.67	$58.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$300.00	$152.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$265.00	$176.02
G0009 Administration of pneumococcal vaccine	12	12	$32.00	$15.82
81003 Automated urinalysis test	12	11	$6.00	$2.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	625	226	$160.42	$103.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	152	152	$165.00	$110.37
99213 Established patient office or other outpatient visit, typically 15 minutes	126	87	$108.97	$68.14
G0008 Administration of influenza virus vaccine	70	69	$32.00	$15.38
90662 Influenza vaccine split virus, preservative free	66	65	$51.00	$50.21
G0009 Administration of pneumococcal vaccine	11	11	$32.00	$15.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	731	271	$141.00	$101.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	120	$165.00	$107.73
99213 Established patient office or other outpatient visit, typically 15 minutes	93	65	$94.00	$69.41
G0008 Administration of influenza virus vaccine	75	73	$32.20	$15.30
90662 Influenza vaccine split virus, preservative free	73	71	$51.00	$49.98
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$60.00	$15.75
G0009 Administration of pneumococcal vaccine	26	26	$31.81	$15.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$218.00	$154.91
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$117.00	$110.47
90670 Pneumococcal vaccine for injection into muscle	13	13	$262.00	$210.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	754	276	$141.00	$99.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	168	168	$165.00	$108.26
99213 Established patient office or other outpatient visit, typically 15 minutes	132	96	$94.00	$67.15
93000 Routine ekg using at least 12 leads including interpretation and report	90	88	$60.00	$15.53
G0008 Administration of influenza virus vaccine	84	83	$32.21	$18.69
90662 Influenza vaccine split virus, preservative free	82	81	$51.00	$49.86
G0009 Administration of pneumococcal vaccine	42	42	$31.93	$18.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$218.00	$153.41
90670 Pneumococcal vaccine for injection into muscle	23	23	$262.00	$198.88
90471 Administration of 1 vaccine	21	20	$32.76	$18.83
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$117.00	$105.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	732	263	$141.00	$95.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	103	86	$191.00	$125.99
G0008 Administration of influenza virus vaccine	96	94	$32.00	$23.04
90662 Influenza vaccine split virus, preservative free	88	86	$51.00	$47.35
99213 Established patient office or other outpatient visit, typically 15 minutes	83	67	$94.00	$64.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	74	74	$153.51	$103.95
G0009 Administration of pneumococcal vaccine	62	61	$31.97	$23.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$218.00	$145.95
93000 Routine ekg using at least 12 leads including interpretation and report	51	49	$60.00	$15.07
90670 Pneumococcal vaccine for injection into muscle	44	44	$262.00	$184.66
90471 Administration of 1 vaccine	38	38	$31.58	$22.29
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	36	36	$55.00	$30.60
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$117.00	$94.93

Medical Specialties & State Licenses

CMS Verified: 2021-12-09

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AL 19019

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License AL 00019019

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

009932196 (AL)

Medicaid State Provider ID

109211 (AL)

Commercial Insurance / Payer ID Blue Cross Of Alabama

515-96535 (AL)

Hospital & Practice Group Affiliations

West Madison Urgent And Primary Care Llc

11202 County Line Rd, Madison, AL 357584866

Phone: 2562783080

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Heeeun Kang , MD

Internal Medicine

NPI 1003159781

Doctor of Medicine (M.D.)

Dr. Pragya Katoch , MD

Internal Medicine

NPI 1528071024

Doctor of Medicine (M.D.)

Jenny Southwood , CRNP

Nurse Practitioner - Adult Health

NPI 1528449816

Certified Registered Nurse Practitioner

Alex Kearns

Family Medicine

NPI 1790305076

Dr. Tiffanie Mcguire , DO

Family Medicine

NPI 1851827695

Doctor of Osteopathic Medicine (D.O.)

Raymond Moosavi

Family Medicine

NPI 1851971337

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 22, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 22, 2015

Registered at 8371 HIGHWAY 72 W, SUITE 104, MADISON, AL 357589505 (Tel: 2562655970)

📍

Updated Business Mailing Address July 22, 2015

Registered at PO BOX 2705, HUNTSVILLE, AL 358042705 (Tel: 2562654595)

👤

Provider Name / Credentials Updated July 22, 2015

Recorded as EHTISHAM KHAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2015

Emergency Medicine (License #00019019 in AL)

🟢

Initial NPI Registration & Enumeration June 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1417999335

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 12, 2006

Last Update: December 09, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2705

Huntsville, AL 358042705

Phone: 2562655970

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.