Hameeda Tayyab Khan, M.D

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

319585 Issued in NY

Practice address

105TH St
8541
Richmond Hill, NY 11418-1128

Phone

(718) 805-2643

NPI assigned

Apr 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Nephrology

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: hkhan2281867@nychhc.direct-ci.com

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.

• Icahn School of Medicine at Mount Sinai

  • Orthopaedic Surgery Physician
  • Elmhurst, NY
  • NPI 1609120674
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  • Anesthesiology Physician
  • Elmhurst, NY
  • NPI 1063766038
  NPD
• Icahn School of Medicine at Mount Sinai

  • Surgery Physician
  • Elmhurst, NY
  • NPI 1073867040
  NPD
• Icahn School of Medicine at Mount Sinai

  • Internal Medicine Physician
  • Elmhurst, NY
  • NPI 1184977324
  NPD
• Icahn School of Medicine at Mount Sinai

  • Cardiovascular Disease Physician
  • Elmhurst, NY
  • NPI 1417201484
  NPD
• Icahn School of Medicine at Mount Sinai

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Elmhurst, NY
  • NPI 1437403409
  NPD
• Icahn School of Medicine at Mount Sinai

  • Pediatrics Physician
  • Elmhurst, NY
  • NPI 1518211580
  NPD
• Icahn School of Medicine at Mount Sinai

  • Obstetrics & Gynecology Physician
  • Elmhurst, NY
  • NPI 1578817540
  NPD
• Icahn School of Medicine at Mount Sinai

  • Diagnostic Radiology Physician
  • Elmhurst, NY
  • NPI 1619221686
  NPD
• Icahn School of Medicine at Mount Sinai

  • Nephrology Physician
  • Elmhurst, NY
  • NPI 1780938753
  NPD
• Icahn School of Medicine at Mount Sinai

  • Geriatric Medicine (Internal Medicine) Physician
  • Elmhurst, NY
  • NPI 1871847848
  NPD
• Icahn School of Medicine at Mount Sinai

  • Pulmonary Disease Physician
  • Elmhurst, NY
  • NPI 1962756932
  NPD

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1093248908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105TH ST",
            "address_2": "8541",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105TH ST",
            "address_2": "8541",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181128",
            "telephone_number": "718-805-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "HAMEEDA",
        "middle_name": "TAYYAB",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "319585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adam Zafar Khan, PA
• Aizaaz Ali Khan, M.D.
• Altaf Khan, MD
• Farhan Khan
• Farzana Khan
• Muhammad Ghazi Asad Khan, MBBS, MD
• Riad Khalil Khan, DDS
• Shah Khan, DO
• Shahida Khan
• Zarlakhta Khan

• Nephrology Physician in Richmond Hill, NY
• Providers in Richmond Hill, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.