Individual provider Active NPI

Abdullah Khan

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1083877666
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
260304 Issued in NY
Practice address
1 Brookdale PLZ
Brooklyn, NY 11212-3139
Phone
(718) 240-5000
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 260304 NY
Interventional Cardiology Physician 207RI0011X 260304 NY
Cardiovascular Disease Physician 207RC0000X 260304 NY Primary

Addresses

Primary practice location

1 Brookdale PLZ
Brooklyn, NY 11212-3139

Mailing address

1 Brookdale PLZ
Brooklyn, NY 11212-3139
Phone (718) 240-5000

Other names 1

  • Abdullah Khan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110513000744 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2466638192 Reassigns benefits to 6 organizations
I20240401001835 TX Practitioner - Interventional CardiologyPractitioner - Family Practice 2466638192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Heart Specialists PLLCGroup PAC ID 3476926171, 5 clinicians

Practice addresses (Care Compare)

18440 W Airport Blvd
Suite 300
Richmond, TX 77407-5100
Phone (346) 279-2221

19002 Park Row
Suite 207
Houston, TX 77084-7060
Phone (346) 279-2221

Hospital & facility affiliations

  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Columbus Community Hospital Hospital, Columbus, TX, CCN 450370
  • Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
260304NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Brookdale Hospital Medical Center CurrentSince Aug 31, 2015 Accepting new patients
Urban Strategies Brookdale Family Care Center Inc Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Aug 31, 2015 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Jan 1, 2021 Accepting new patients
American Heart Specialists PLLC Cardiovascular Disease CurrentSince Feb 20, 2024 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Interfaith Professional Physician Services, P.C. Internal Medicine CurrentSince Mar 26, 2024 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Brookdale Family Care Center, Inc. Internal Medicine Current Accepting new patients
Exigence Hospitalist Medical Services of Olean, PLLC Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Geo Medical Care PC Internal Medicine Past Accepting new patients
Omar Welfare Medical Center PastSince Apr 1, 2024 Accepting new patients

Locations

2554 Linden Blvd
Brooklyn, NY 11208
Phone (718) 240-5132

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1873 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 240-5133

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

5001 N Shepherd Dr
Ste 100
Houston, TX 77018

915 Gessner Rd
Ste 300
Houston, TX 77024
Phone (713) 464-2100

19002 Park Row
Ste 207
Houston, TX 77084
Phone (281) 825-1866

1431 Studemont St
Ste 600
Houston, TX 77007
Phone (346) 279-2221

23960 Katy Fwy
Ste 320
Katy, TX 77494
Phone (281) 599-9979

6630 FM 1463 Rd
Ste A500
Katy, TX 77494
Phone (346) 279-2221

11960 Broadway St
Ste 130
Pearland, TX 77584

11960 Broadway St
Ste 120
Pearland, TX 77584

1628 Crabb River Rd
Richmond, TX 77469
Phone (281) 343-9890

18440 W Airport Blvd
Ste 300
Richmond, TX 77407
Phone (346) 279-2221

1601 Main St
Ste 105
Richmond, TX 77469
Phone (281) 633-4925

6909 Brisbane Ct
Ste 300
Sugar Land, TX 77479
Phone (281) 801-7855

11507 S Highway 6
Ste F
Sugar Land, TX 77498
Phone (346) 279-2221

416 N Alabama Rd
Wharton, TX 77488
Phone (281) 232-1908

Networks

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

Interoperability endpoints

  • Direct secure messaging: akhan252285@memorialhermann.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIDBDD/Endpoint/IIDBDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIDBDD

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1083877666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABDULLAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "260304",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "260304",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "260304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDULLAH",
            "last_name": "KHAN",
            "credential": "M.D..",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.