Rehan E Khan, DNP-BC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

343149 Issued in NY

Practice address

609 W 114TH St
Apt. 73
New York, NY 10025

Phone

(917) 597-3533

Fax

(212) 665-6895

NPI assigned

Aug 4, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nitin Mariwalla MD PLLCGroup PAC ID 0941692495, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Nitin Mariwalla MD PLLC

  • Neurological Surgery Physician
  • West Islip, NY
  • NPI 1659943942

  Single Specialty

  Medicare reassignment Care Compare group NPD
• KDV Medical PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lindenhurst, NY
  • NPI 1346830254

  Single Specialty

  Medicare reassignment NPD
• Link Medical Services PLLC

  • Specialist
  • Riverhead, NY
  • NPI 1326716887

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1104130947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W 114TH ST",
            "address_2": "APT. 73",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257972",
            "telephone_number": "917-597-3533",
            "fax_number": "212-665-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W 114TH ST",
            "address_2": "APT. 73",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "917-597-3533",
            "fax_number": "212-665-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "REHAN",
        "middle_name": "E",
        "credential": "DNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "632777",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343149",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NY",
            "license": "343149",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "343149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Ahmad Khan, M.D
• Oneeka Khan
• Osman Ali Khan, DDS
• Rabeea Feroz Khan, MD, MPH
• Rahema Khan
• Rehnuma Rahman Khan, MD, MS
• Rubina Feroz Khan
• Saba Khan, PA
• Sabeena Khan
• Sabrina Khan

• Interventional Pain Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.