Mahamid Ali Khan, DMD
NPI 1164424016ActiveIndividual· Dentist· Berwyn, IL
Dentist (DMD) in Berwyn, Illinois, licensed in IL and MO, with an NPI issued in August 2005. Enrolled in Medicare as practitioner - dentist. Dentsply Sirona Inc reported $17.66 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1164424016 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Aug 11, 2005 |
| Last updated in NPPES | Jul 2, 2021 |
| Certified by provider | Jul 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 019024670 | IL |
| Dentist | 122300000X | 2005002250 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dentist (IL) |
|---|
Industry payments (Open Payments)
- 2024$17.66 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Dentsply Sirona Inc | $17.66 | 1 |
What the 2024 payments were for
- Food and Beverage$17.66 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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