Individual provider Active NPI

Sajid Latif Khan, M.D.

  • Internal Medicine Physician
  • Manhasset Hills, NY
National Provider Identifier
1295975704
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
874255 RESIDENT Issued in NY
Practice address
73 Robby LN
Manhasset Hills, NY 11040-1103
Phone
(917) 502-0617
NPI assigned
Feb 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 874255 RESIDENT NY Primary

Addresses

Primary practice location

73 Robby LN
Manhasset Hills, NY 11040-1103

Mailing address

73 Robby LN
Manhasset Hills, NY 11040-1103
Phone (917) 502-0617

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111003000018 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 3476725128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York Diabetes and Endocrinology PLLCGroup PAC ID 3678847936, 2 clinicians

Practice addresses (Care Compare)

20619 Hillside Ave
Queens Village, NY 11427-1709
Phone (516) 430-1671

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (516) 430-1671

Hospital & facility affiliations

  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
874255 RESIDENTNYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sajid Khan MD PC Internal Medicine CurrentSince Aug 28, 2012 Accepting new patients
New York Diabetes and Endocrinology PLLC Internal Medicine CurrentSince Jul 30, 2017 Accepting new patients

Locations

27005 76th Ave
North New Hyde Pk, NY 11040

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

Organizations & group practices 2

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 10

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": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1295975704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 ROBBY LN",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401103",
            "telephone_number": "917-502-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 ROBBY LN",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401103",
            "telephone_number": "917-502-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAJID",
        "middle_name": "LATIF",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-23",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "874255 RESIDENT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset Hills, NY

Sources for this page

Verify at the official NPI Registry.