Individual provider Active NPI

Muhammad Tanweer Khalid, M.D

  • Psychiatry Physician
  • East Meadow, NY
National Provider Identifier
1104244524
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
292304-1 Issued in NY
Practice address
2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone
(718) 300-9739
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 292304-1 NY Primary

Addresses

Primary practice location

2201 Hempstead Tpke
East Meadow, NY 11554-1859

Mailing address

2 Fuschetto CT
Farmingdale, NY 11735-4262
Phone (718) 300-9739

Other names 1

  • Muhammad T Khalid Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 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
I20181220002185 NY Practitioner - Psychiatry 7618212580 Reassigns benefits to 1 organization
I20210223003137 PA Practitioner - Psychiatry 7618212580 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292304-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation CurrentSince Oct 22, 2018 Accepting new patients
Lancaster Behavioral Health Hospital LLC CurrentSince Nov 21, 2020 Accepting new patients
Nassau Health Care Corporation CurrentSince Oct 22, 2018 Accepting new patients

Locations

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

2201 Hempstead Tpke
Fl 19
East Meadow, NY 11554
Phone (516) 486-6862

333 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 740-4100

Interoperability endpoints

  • Direct secure messaging: mkhalid366363@northwell.direct-ci.com
  • Direct secure messaging: mind&medicalcarellc.muhammadkhalid@145957.advancedmd-direct.com
  • Direct secure messaging: mkhalid198287@direct-lghealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1104244524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FUSCHETTO CT",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354262",
            "telephone_number": "718-300-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859",
            "telephone_number": "718-300-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "MUHAMMAD",
        "middle_name": "TANWEER",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "292304-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUHAMMAD",
            "last_name": "KHALID",
            "middle_name": "T",
            "credential": "M.D ( PSYCHIATRY)",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.