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Active NPI 1588225692 Individual Practitioner Female Practitioner

Dr. Mariam Tajalli Khan , MD

Surgery • Grand Rapids, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mariam Khan, MD is a certified Surgery practicing in Grand Rapids, MI. With approximately 7 years of clinical experience since graduating from Michigan State University College Of Human Medicine in 2019, Dr. Khan delivers high-quality medical care to the local community at 145 MICHIGAN ST NE STE 4400.

Dr. Khan is affiliated with Spectrum Health Primary Care Partners and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

145 Michigan St Ne Ste 4400

Grand Rapids, MI 495032564

Telephone 6164866333
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Michigan State University College Of Human Medicine

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Grand Rapids, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -11.9 yrs vs City Avg
City Avg: 18.9 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
128 Specialists

Practicing in Grand Rapids, MI (1479 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Khan (7 Years) 7 Yrs
Grand Rapids Specialty Average (18.9 Years) 18.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-06-27
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4351045634

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Spectrum Health Primary Care Partners

8333 Felch St, Zeeland, MI 494642608

Spectrum Health Primary Care Partners

8333 Felch St, Zeeland, MI 494642609

Spectrum Health Primary Care Partners

4069 Lake Dr Se, Grand Rapids, MI 495468816

Spectrum Health Primary Care Partners

100 Michigan Ave Ne, Grand Rapids, MI 495032560

Spectrum Health Primary Care Partners

100 Michigan St Ne Rm, Grand Rapids, MI 495032560

Phone: 6162670115

Spectrum Health Primary Care Partners

4444 Kalamazoo Ave Se, Kentwood, MI 495084600

Phone: 6163915600

Spectrum Health Primary Care Partners

1840 Wealthy St Se, Grand Rapids, MI 495062921

Phone: 6168855000

Practice Associates & Co-Workers

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

14 Associated Practitioners
Kimberly Texley-Quigg , NP

Nurse Practitioner - Women's Health

NPI 1053552117

Nurse Practitioner

NPI 1144315920

Doctor of Medicine (M.D.)

NPI 1194014019

Doctor of Medicine (M.D.)

Holly Morcote , PA

Physician Assistant

NPI 1194348813

Physician Assistant

Jodi Cunningham , FNP

Nurse Practitioner - Family

NPI 1316595689

Family Nurse Practitioner

Jill Veeneman , PA

Physician Assistant

NPI 1356767073

Physician Assistant

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 27, 2025

Registered at 145 MICHIGAN ST NE STE 4400, GRAND RAPIDS, MI 495032564 (Tel: 6164866333)

📍
Updated Business Mailing Address June 27, 2025

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560

📍
Updated Business Mailing Address July 15, 2019

Registered at 100 MICHIGAN ST NE STE A501, GRAND RAPIDS, MI 495032560

NPI Profile Active July 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2019

Registered at 100 MICHIGAN ST NE STE A501, GRAND RAPIDS, MI 495032560 (Tel: 6163916243)

📍
Updated Business Mailing Address July 01, 2019

Registered at 601 BOND AVE NW UNIT 1101, GRAND RAPIDS, MI 495031494

👤
Provider Name / Credentials Updated July 01, 2019

Recorded as MARIAM KHAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2019

Surgery (License #4351045634 in MI)

🟢
Initial NPI Registration & Enumeration June 28, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588225692
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2019
Last Update: June 27, 2025
Sole Proprietor: No

Mailing Address

100 Michigan St Ne # Mc845

Grand Rapids, MI 495032560

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.