NPIMap

Individual provider Active NPI

Waqas Khan, MD

  • Interventional Cardiology Physician
  • East Patchogue, NY
National Provider Identifier
1366639908
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
270143 Issued in NY
Practice address
285 Sills Rd BLDG 14E
East Patchogue, NY 11772-4851
Phone
(718) 836-6600
NPI assigned
Sep 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 270143 NY
Interventional Cardiology Physician 207RI0011X 270143 NY Primary

Addresses

Primary practice location

285 Sills Rd BLDG 14E
East Patchogue, NY 11772-4851

Mailing address

280 1St St
Apt 3L
Mineola, NY 11501-2315
Phone (718) 809-3868

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wkhan238846@nyumc.direct-ci.com

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
I20130812000224 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0941442552 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

157 E Woodside Ave
Patchogue, NY 11772-1423
Phone (631) 475-1900

250 Patchogue Yaphank Rd
Suite 5
East Patchogue, NY 11772-4862
Phone (631) 654-3330

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

48 Route 25a
Suite 107
Smithtown, NY 11787-1447
Phone (516) 627-5262

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting50
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270143NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Cardiovascular Disease CurrentSince Oct 1, 2018 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Long Island Community Hospital at NYU Langone Health CurrentSince Jul 1, 2013 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients
New York University Cardiovascular Disease CurrentSince Oct 1, 2018 Accepting new patients
Long Island Cardiology Associates, LLP Cardiovascular Disease Past Accepting new patients
Shahriar J Khalili MD PC Cardiovascular Disease Past Accepting new patients
Winthrop Community Medical Affiliates PC Cardiovascular Disease Past Accepting new patients

Locations

285 Sills Rd
Bldg 14
East Patchogue, NY 11772
Phone (631) 447-8300

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

875 Old Country Rd
Ste 102
Plainview, NY 11803
Phone (516) 605-2900

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: wkhan238846@nyumc.direct-ci.com

Organizations & group practices 10

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1366639908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 1ST ST",
            "address_2": "APT 3L",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012315",
            "telephone_number": "718-809-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SILLS RD BLDG 14E",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724851",
            "telephone_number": "718-836-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "WAQAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "270143",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "270143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wkhan238846@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "285 Sills Rd Bldg 14E",
            "city": "East Patchogue",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117724851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

Verify at the official NPI Registry.