Individual provider Active NPI

Sajid Ali Khan, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Vestal, NY
National Provider Identifier
1033186002
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
D0064244 Issued in MD
Practice address
200 Front St
Suite C
Vestal, NY 13850-1559
Phone
(607) 748-7468
Fax
(607) 748-7469
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X D0064244 MD
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X D0064244 MD Primary

Addresses

Primary practice location

200 Front St
Suite C
Vestal, NY 13850-1559

Mailing address

46 Harrison St
Johnson City, NY 13790-2120
Phone (607) 729-4942

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
I20080214000387 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 1759387004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Medical Associates PCGroup PAC ID 0345144978, 229 clinicians

Practice addresses (Care Compare)

33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6622

46 Harrison St
Johnson City, NY 13790-2120
Phone (607) 729-4942

52 Harrison St
FL 2
Johnson City, NY 13790-2120
Phone (607) 748-7468

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.59 of 100Reported as group
Quality
78.3
Promoting interoperability
100
Improvement activities
40
Cost
72.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0064244MDMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC CurrentSince May 1, 2016 Accepting new patients
United Medical Associates, P.C. CurrentSince May 1, 2016 Accepting new patients
Pain and Spine Care Physical Medicine & Rehabilitation Past Accepting new patients
Advanced Pain and Spine Center Pain Medicine Past Accepting new patients

Locations

52 Harrison St
Fl 2
Johnson City, NY 13790
Phone (607) 729-1521

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

46 Harrison St
Johnson City, NY 13790
Phone (607) 729-4942

200 Front St
Vestal, NY 13850
Phone (607) 658-1003

200 Front St
Ste C
Vestal, NY 13850
Phone (607) 239-5694

Organizations & group practices 4

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 1

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1033186002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 HARRISON ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902120",
            "telephone_number": "607-729-4942",
            "fax_number": "607-729-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FRONT ST",
            "address_2": "SUITE C",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501559",
            "telephone_number": "607-748-7468",
            "fax_number": "607-748-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAJID",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0064244",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D0064244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.