Syeda Maimuna Ali Khan, MD - Medicare Internal Medicine in Tampa, FL

Syeda Maimuna Ali Khan, MD is a medicare enrolled "Internal Medicine" physician in Tampa, Florida. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Privia Medical Group Of Georgia Llc, Pmc Long Term Care Llc and her current practice location is 12901 Bruce B Downs Blvd, Mdc19, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 974-2201.

Syeda Maimuna Ali Khan is licensed to practice in Georgia (license number 86127) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366639221.

Contact Information

Syeda Maimuna Ali Khan, MD
12901 Bruce B Downs Blvd, Mdc19,
Tampa, FL 33612-4742
(813) 974-2201
Not Available

Map and Direction




Physician's Profile

Full NameSyeda Maimuna Ali Khan
GenderFemale
SpecialityInternal Medicine
Experience22 Years
Location12901 Bruce B Downs Blvd, Tampa, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Syeda Maimuna Ali Khan graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1366639221
  • Provider Enumeration Date: 09/25/2007
  • Last Update Date: 08/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6103915756
  • Enrollment ID: I20200902001554

Medical Identifiers

Medical identifiers for Syeda Maimuna Ali Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366639221NPI-NPPES
14A4DOtherFLBLUE CROSS BLUE SHIELD
002800300MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 245634 (New York)Secondary
208M00000XHospitalist 245634 (New York)Secondary
207R00000XInternal Medicine 86127 (Georgia)Primary
207R00000XInternal Medicine ME107445 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Fayette HospitalFayetteville, GAHospital
Piedmont Newnan Hospital, IncNewnan, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Privia Medical Group Of Georgia Llc4284951542332
Pmc Long Term Care Llc96385957546

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. Syeda Maimuna Ali Khan allows following entities to bill medicare on her behalf.
Entity NamePrivia Medical Group Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013313857
PECOS PAC ID: 4284951542
Enrollment ID: O20150325000983
Entity NamePai Participant 11 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144887720
PECOS PAC ID: 9638405897
Enrollment ID: O20190725000706
Entity NamePmc Long Term Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699396457
PECOS PAC ID: 9638595754
Enrollment ID: O20200819001738

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. Syeda Maimuna Ali 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
Syeda Maimuna Ali Khan, MD
Po Box 917770,
Orlando, FL 32891-7770

Ph: () -
Syeda Maimuna Ali Khan, MD
12901 Bruce B Downs Blvd, Mdc19,
Tampa, FL 33612-4742

Ph: (813) 974-2201

Reviews and Comments


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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.