Active NPI
Abul B Khuda, MD
- Internal Medicine Physician
- Kingston, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 236708
- Practice address
- 396 Broadway
Mid Hudson Physicians, PC
Kingston, NY 12401-4626 - Phone
- (845) 331-3131
- Fax
- (845) 334-2898
- NPI assigned
- Jul 30, 2006
- Last updated
- Jul 14, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 236708 | NY | Primary |
Addresses
Primary practice location
396 Broadway
Mid Hudson Physicians, PC
Kingston, NY 12401-4626
Mailing address
396 Broadway
Mid Hudson Physicians, PC
Kingston, NY 12401-4626
Phone (845) 331-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02797299 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Coney Island Medical Practice Plan, P.C. | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Internal Medicine | Past | Accepting new patients |
| University Group Medical Associates, P.C | Internal Medicine | Past | Accepting new patients |
Locations
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080
396 Broadway
Kingston, NY 12401
Phone (845) 331-3131
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- akhuda2302566@nychhc.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Internal Medicine Physician
- Kingston, NY
- NPI 1811949589
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
dba Coney Island Hospital
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1124032982
Internal Medicine
-
dba Coney Island Medical Group
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1285683102
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Girling Health Care of New york, Inc
- Home Health Agency
- Brooklyn, NY
- NPI 1568886653
-
dba Coney Island Hospital
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1124032982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1104831841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "396 BROADWAY",
"address_2": "MID HUDSON PHYSICIANS, PC",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124014626",
"telephone_number": "845-331-3131",
"fax_number": "845-334-2898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396 BROADWAY",
"address_2": "MID HUDSON PHYSICIANS, PC",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124014626",
"telephone_number": "845-331-3131",
"fax_number": "845-334-2898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHUDA",
"first_name": "ABUL",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "236708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02797299",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.