Individual provider Active NPI

Abdulquader Khan, M.D.

  • Pain Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1013146216
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
251646 Issued in NY
Practice address
720 Rugby Rd
Brooklyn, NY 11230-2410
Phone
(718) 421-4637
NPI assigned
Jul 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 251646 NY
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 251646 NY
Pain Medicine Physician 208VP0000X 251646 NY Primary

Addresses

Primary practice location

720 Rugby Rd
Brooklyn, NY 11230-2410

Mailing address

720 Rugby Rd
Brooklyn, NY 11230-2410
Phone (718) 421-4637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110225000044 NY Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Hospice/Palliative CarePractitioner - Pain ManagementPractitioner - Other (Physician) 2163603044 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Hospice/Palliative Care, Interventional Pain Management, Pain Management
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2020 Cortelyou Rd
Brooklyn, NY 11226-5904
Phone (718) 768-7246

405 5TH Ave
Brooklyn, NY 11215-3315
Phone (718) 768-7246

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
251646NYMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Interventional Spine and Pain Medicine PC Pain Medicine CurrentSince Jun 22, 2012 Accepting new patients
Maimonides Medical Center Current Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 1, 2020 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jan 22, 2021 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jan 22, 2021 Accepting new patients
Park Slope Medical PLLC Current Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine Current Accepting new patients
Suny Downstate Medical Center PastSince Aug 1, 2015 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine Past Accepting new patients
Ny Acute Care Specialists PC Past Accepting new patients

Locations

594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680

405 5th Ave
Brooklyn, NY 11215
Phone (718) 768-7246

2020 Cortelyou Rd
Brooklyn, NY 11226
Phone (718) 569-7925

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

50 Water St
Fl 3
New York, NY 10004

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: abdulquaderkhan@mai.allscriptsdirect.net
  • Direct secure messaging: abdulquader.khan.1@13555.direct.athenahealth.com
  • Direct secure messaging: akhan1317410@nychhc.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1013146216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 RUGBY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302410",
            "telephone_number": "718-421-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 RUGBY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302410",
            "telephone_number": "718-421-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABDULQUADER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "251646",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "251646",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "251646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.