NPIMap

Individual provider Active NPI

Mahmood A Khan, M.D., M.B.B.S,

  • Family Medicine Physician
  • Amsterdam, NY
National Provider Identifier
1265480073
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
225526 Issued in NY
Practice address
5032 State Highway 30
Medical Plaza
Amsterdam, NY 12010-7534
Phone
(518) 842-0200
Fax
(518) 842-3003
NPI assigned
May 4, 2006
Last updated
Nov 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 225526 NY Primary

Addresses

Primary practice location

5032 State Highway 30
Medical Plaza
Amsterdam, NY 12010-7534

Mailing address

5032 State Highway 30
Medical Plaza
Amsterdam, NY 12010-7534
Phone (518) 842-0200

Other identifiers 1

IdentifierTypeStateIssuer
02491005MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040913001037 NY Practitioner - Family Practice 6901873629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kingsway Arms Nursing Center, Inc.Group PAC ID 1850368218, 5 clinicians

Practice addresses (Care Compare)

323 Kings Rd
Schenectady, NY 12304-3645
Phone (518) 393-4117

5032 State Hwy 30
Amsterdam, NY 12010-7534
Phone (518) 842-0200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225526NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsway Arms Nursing Center, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Baptist Health Nursing and Rehabilitation Center Inc CurrentSince Dec 28, 2019 Accepting new patients
Mahmood a Khan Primary Care PC CurrentSince May 23, 2010 Accepting new patients
Daughters of Sarah Nursing Center, Inc. Past Accepting new patients
Amsterdam Memorial Hospital Past Accepting new patients

Locations

5032 State Highway 30
Amsterdam, NY 12010
Phone (518) 841-3650

323 Kings Rd
Schenectady, NY 12304
Phone (518) 393-4117

297 N Ballston Ave
Scotia, NY 12302
Phone (518) 370-4700

Interoperability endpoints

  • Direct secure messaging: drmkhan@makpcp-ny.direct.office.nextgen.com

Organizations & group practices 5

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1265480073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5032 STATE HIGHWAY 30",
            "address_2": "MEDICAL PLAZA",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107534",
            "telephone_number": "518-842-0200",
            "fax_number": "518-842-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5032 STATE HIGHWAY 30",
            "address_2": "MEDICAL PLAZA",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107534",
            "telephone_number": "518-842-0200",
            "fax_number": "518-842-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MAHMOOD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.B.S,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "225526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02491005",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.