Mansoor A Khan, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

265529 Issued in NY

Practice address

9217 101St Ave
Ozone Park, NY 11416-2316

Phone

(412) 452-4262

NPI assigned

Jul 22, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Mansoor A Khan Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

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

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.

• 210 MJD Medical, PLLC

  • Multi-Specialty Clinic/Center
  • Far Rockaway, NY
  • NPI 1750712220
  Medicare reassignment NPD
• City Care Health Practice Rpa PLLC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1255204046
  Medicare reassignment NPD
• Quality Medical Provider PC

  • Family Medicine Physician
  • Floral Park, NY
  • NPI 1023186442
  Medicare reassignment NPD
• Universal Medical Care, PC

  • Psychiatry Physician
  • Ozone Park, NY
  • NPI 1679665285
  NPD

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365811200000",
    "number": "1104081900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162316",
            "telephone_number": "412-452-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162316",
            "telephone_number": "412-452-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MANSOOR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2013-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "265529",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "265529",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "265529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANSOOR",
            "last_name": "KHAN",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Merrill C Kaufman, D.O.
• Baljit Kaur
• Wendy Ann Keiser-O'Neill, DC
• Faramarz Khalili, DDS
• Khalsa Care Pharmacy Inc.
• Shafinaz Khan
• Shehnaz Khan, OTR/L
• Asma Khatun
• Dmitriy Khelemskiy, L.AC
• Shafiq Rehman Khokhar, MD

• Family Medicine Physician in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.