Individual provider Active NPI

Inamul Khan, M.D

  • Critical Care Medicine (Internal Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1265726939
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
25MA09459200 Issued in NJ
Practice address
333 Cottman Ave
Philadelphia, PA 19111-2434
Phone
(215) 728-6900
Fax
(215) 214-4044
NPI assigned
May 31, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09459200 NJ
Pulmonary Disease Physician 207RP1001X 25MA09459200 NJ
Pulmonary Disease Physician 207RP1001X MD444112 PA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA09459200 NJ Primary

Addresses

Primary practice location

333 Cottman Ave
Philadelphia, PA 19111-2434

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 728-6900

Other practice location 1

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20140718000074 NJ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9931372125 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverfront Intensivists 5 clinicians
Rwjbh Observation Associates LLC 995 clinicians

Practice addresses (Care Compare)

7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 854-5000

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (732) 369-5994

Hospital & facility affiliations

  • Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09459200NJMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Consultants Pulmonary Disease CurrentSince Jan 8, 2025 Accepting new patients
Secaucus Physician Associates Critical Care Medicine CurrentSince Apr 29, 2018 Accepting new patients
Rwjbh Observation Associates LLC Internal Medicine CurrentSince May 9, 2023 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Aug 3, 2015 Accepting new patients
Riverfront Intensivists Critical Care Medicine CurrentSince Aug 16, 2017 Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

300 Old Hook Rd
Westwood, NJ 07675
Phone (201) 566-2675

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1265726939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-728-6900",
            "fax_number": "215-214-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112434",
            "telephone_number": "215-728-6900",
            "fax_number": "215-214-4044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E North Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152124756",
            "country_code": "US",
            "telephone_number": "412-359-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "INAMUL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09459200",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA09459200",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD444112",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA09459200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.