Dr Imtiaz Ahmad Khan, MD - Medicare Emergency Medicine in Lawrenceville, GA

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Dr Imtiaz Ahmad Khan, MD is a medicare enrolled "Emergency Medicine" physician in Lawrenceville, Georgia. He went to Southern Illinois University School Of Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Etowah Emergency Physicians, Llc, Northside Urgent Care Holding Llc, Chattooga River Physicians, Llc and his current practice location is 1000 Medical Center Blvd, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 442-3317.

Dr Imtiaz Ahmad Khan is licensed to practice in Georgia (license number 035077) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356481261.

Contact Information

Dr Imtiaz Ahmad Khan, MD
1000 Medical Center Blvd,
Lawrenceville, GA 30045-7694
(678) 442-3317
(678) 442-4416

Map and Direction




Physician's Profile

Full NameDr Imtiaz Ahmad Khan
GenderMale
SpecialityEmergency Medicine
Experience35 Years
Location1000 Medical Center Blvd, Lawrenceville, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Imtiaz Ahmad Khan attended and graduated from Southern Illinois University School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1356481261
  • Provider Enumeration Date: 02/08/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4284717083
  • Enrollment ID: I20080218000409

Medical Identifiers

Medical identifiers for Dr Imtiaz Ahmad Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356481261NPI-NPPES
00538964DMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 035077 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Floyd Medical CenterRome, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Etowah Emergency Physicians, Llc145663569733
Northside Urgent Care Holding Llc458798469562
Chattooga River Physicians, Llc882044357525

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Imtiaz Ahmad Khan allows following entities to bill medicare on his behalf.
Entity NameGwinnett Hospital System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952340994
PECOS PAC ID: 8123916426
Enrollment ID: O20040309000009
Entity NameAthens-clarke Emergency Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194762237
PECOS PAC ID: 9234029125
Enrollment ID: O20040316000637
Entity NameAcs Primary Care Physicians - Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20040901000766
Entity NameSouth Georgia Emergency Medicine Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386903649
PECOS PAC ID: 4880850775
Enrollment ID: O20120720000457
Entity NameNorthside Urgent Care Holding Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679962237
PECOS PAC ID: 4587984695
Enrollment ID: O20150513000795
Entity NameEtowah Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962944900
PECOS PAC ID: 1456635697
Enrollment ID: O20170307000640
Entity NameReid Emergency Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659872497
PECOS PAC ID: 5991051872
Enrollment ID: O20180706001919
Entity NameWalker Lake Emergency Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437629342
PECOS PAC ID: 0840531919
Enrollment ID: O20190418001186
Entity NameChattooga River Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184302473
PECOS PAC ID: 8820443575
Enrollment ID: O20231016001943
Entity NamePeach State Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053170605
PECOS PAC ID: 7719328038
Enrollment ID: O20240516002831

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Imtiaz Ahmad Khan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Imtiaz Ahmad Khan, MD
908 Adair Ave Ne,
Atlanta, GA 30306-3806

Ph: (404) 733-6554		Dr Imtiaz Ahmad Khan, MD
1000 Medical Center Blvd,
Lawrenceville, GA 30045-7694

Ph: (678) 442-3317

Reviews and Comments


Emergency Medicine Doctors in Lawrenceville, GA

Amanarh Albert Kisseih, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045
Phone: 678-442-3317    Fax: 678-442-4416
Dr. Anna Carolyn Nay, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 Medical Center Blvd Ste 135, Lawrenceville, GA 30046
Phone: 678-312-3317    
Donald Alfred Ruf, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045
Phone: 678-442-3317    Fax: 678-442-4416
Roy Gilbreath, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1185 Rivershyre Pkwy, Lawrenceville, GA 30043
Phone: 678-591-7640    
Tiffany Mckinnie, M.D
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 678-312-4416    
Danielle Hines, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 678-312-3317    
Dr. James Lofton Smith Jr., M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045
Phone: 678-442-3317    Fax: 678-442-4416

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.