Active NPI
Nazim A. Khan, PA-C
- Physician Assistant
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 022068
- Practice address
- 135 Grant St
Buffalo, NY 14213-1604 - Phone
- (716) 881-4300
- Fax
- (716) 881-5300
- NPI assigned
- Apr 11, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 022068 | NY | Primary |
Addresses
Primary practice location
135 Grant St
Buffalo, NY 14213-1604
Mailing address
4979 Harlem Rd
Amherst, NY 14226-2547
Phone (716) 923-4380
Other practice location 1
6450 West College Drive
Palos Heights, IL 60463
Phone (708) 389-1500
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
135 Grant St
Buffalo, NY 14213-1604
Phone (716) 881-4300
147 Reist St
Williamsville, NY 14221-5321
Phone (716) 633-5400
4979 Harlem Rd
Amherst, NY 14226-2547
Phone (716) 923-4380
909 Pine Ave
Niagara Falls, NY 14301-1807
Phone (716) 453-4027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Immediate Medical Care LLC | Current | Accepting new patients | |
| Western New York MRI LLP | Past | Accepting new patients |
Locations
2099 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 204-2273
Interoperability endpoints
- nkhan@wnymedical.medentdirect.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Amherst, NY
- NPI 1154421246
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1508816521
-
- Emergency Medicine Physician
- Orchard Park, NY
- NPI 1427224625
-
- Diagnostic Radiology Physician
- Buffalo, NY
- NPI 1043255854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1275976045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4979 HARLEM RD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142262547",
"telephone_number": "716-923-4380",
"fax_number": "716-923-4384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 GRANT ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142131604",
"telephone_number": "716-881-4300",
"fax_number": "716-881-5300"
}
],
"practiceLocations": [
{
"address_1": "6450 West College Drive",
"address_purpose": "LOCATION",
"city": "Palos Heights",
"state": "IL",
"postal_code": "60463",
"country_code": "US",
"telephone_number": "708-389-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "NAZIM",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-11",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "022068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.