Active NPI
Inamul Khan, M.D
- Critical Care Medicine (Internal Medicine) Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 25MA09459200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140718000074 | NJ | Practitioner - Pulmonary Disease | 9931372125 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riverfront IntensivistsRwjbh Observation Associates LLC
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
- Palisades Medical Center
- Cooperman Barnabas Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09459200 | NJ | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Consultants | Pulmonary Disease | Current | Accepting new patients |
| Secaucus Physician Associates | Critical Care Medicine | Current | Accepting new patients |
| Rwjbh Observation Associates LLC | Internal Medicine | Current | Accepting new patients |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| Riverfront Intensivists | Critical Care Medicine | Current | 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.
-
- Critical Care Medicine (Internal Medicine) Physician
- North Bergen, NJ
- NPI 1639618424
Critical Care Medicine, NJ
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
Internal Medicine, NJ
-
- Critical Care Medicine (Internal Medicine) Physician
- Secaucus, NJ
- NPI 1700254414
Critical Care Medicine, NJ
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
NJ
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1770583999
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.