Shahida Khan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

209073 Issued in NY

Practice address

6527 Roosevelt Ave # 1a
Woodside, NY 11377-2927

Phone

(718) 550-2273

Fax

(718) 550-2274

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Internal Medicine

Education

Adio/Pennsylvania Institute of Straight Chiropractic, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.33 of 100Reported as group

Quality

82.1

Promoting interoperability

100

Improvement activities

40

Cost

72.34

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: shahida.khan.1@2983.direct.athenahealth.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.

• City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1801277629
  Medicare reassignment Care Compare group NPD
• Medical Professional Healthcare Woodside P.C.

  • Primary Care Clinic/Center
  • Woodside, NY
  • NPI 1124781398
  Medicare reassignment Authorized official
• City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1740913763
  NPD
• City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • Yonkers, NY
  • NPI 1871919811
  NPD
• JHMC Diagnostic and Treatment Center

  • Family Medicine Physician
  • Jamaica, NY
  • NPI 1821045485

  Internal Medicine

  NPD (past)
• Emergency Medicine Physicians of New Haven County,LLC

  • Emergency Medicine Physician
  • Meriden, CT
  • NPI 1083910962
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1245338300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6527 ROOSEVELT AVE # 1A",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772927",
            "telephone_number": "718-550-2273",
            "fax_number": "718-550-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6527 ROOSEVELT AVE # 1A",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772927",
            "telephone_number": "718-550-2273",
            "fax_number": "718-550-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAHIDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01817803",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@patientfirstny.com",
            "affiliation": "N",
            "address_1": "6527 Roosevelt Ave # 1A",
            "city": "Woodside",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113772927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jocelyn L Kee, RN
• Ellisheva Kessler, LMSW
• Zulfiqar Khalique, M.D
• Abu Ehsan Khan, PHARM D
• Sadiq Zaman Khan
• Sheena Khan, M.S., SLP
• Rubina Khatoon, DDS
• Kids Dental Village
• Andy Kim, DDS
• Backho Kim, PHYSICAL THERAPY

• Internal Medicine Physician in Woodside, NY
• Providers in Woodside, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.