Individual provider Active NPI

Hussein Khan, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1023428398
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
287620 Issued in NY
Practice address
1964 1St Ave Apt 4T
New York, NY 10029-6422
Phone
(630) 806-4724
NPI assigned
May 7, 2014
Last updated
Nov 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Internal Medicine Physician 207R00000X 287620 NY Primary

Addresses

Primary practice location

1964 1St Ave Apt 4T
New York, NY 10029-6422

Mailing address

8 South 231 Dunham Drive
Naperville, IL 60540
Phone (630) 806-4724

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
I20221222001156 NY Practitioner - Internal Medicine 6800266495 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
287620NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc CurrentSince Nov 28, 2022 Accepting new patients
Ny Total Medical Care, P.C. Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
American Medical Today P.C. Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Manhattan Internal Medicine Associates, PC Internal Medicine Past Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

12021 Wilshire Blvd
Los Angeles, CA 90025
Phone (310) 348-1900

362 9th St
Ste A
Brooklyn, NY 11215
Phone (718) 832-3200

527 Coney Island Ave
Frnt 1
Brooklyn, NY 11218
Phone (718) 306-5025

350 Jericho Tpke
Ste 312
Jericho, NY 11753
Phone (646) 673-5067

145 E 32nd St
Ste 303
New York, NY 10016
Phone (212) 375-1065

214 W Houston St
New York, NY 10014
Phone (212) 337-9400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEJGAA

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1023428398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SOUTH 231 DUNHAM DRIVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60540",
            "telephone_number": "630-806-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 1ST AVE APT 4T",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296422",
            "telephone_number": "630-806-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "HUSSEIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-07",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "287620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.