Zakir H Khandkar

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP024325 Issued in PA

Practice address

420 N Orange St
Media, PA 19063-2319

Phone

(610) 864-1621

NPI assigned

Sep 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mydoc Urgent CareGroup PAC ID 3870808322, 6 clinicians

Ahpaffs,LLCGroup PAC ID 5799070306, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mydoc Urgent Care

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1689067472
  Medicare reassignment Care Compare group NPD
• Ahpaffs,LLC

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1275985814
  Medicare reassignment Care Compare group
• Med-Doc Office PC

  • Psychiatry Physician
  • Stratford, NJ
  • NPI 1851021372
  Medicare reassignment NPD

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1376212654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N ORANGE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632319",
            "telephone_number": "610-864-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N ORANGE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632319",
            "telephone_number": "610-864-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANDKAR",
        "first_name": "ZAKIR",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Kessler, LCSW
• Jessica Kessler
• John C. Kessler, M.S.W.
• Ramatulai Latifa Khan
• Yousuf Khan, M.D.
• Carolyn Marie Kibelstis, P.T.
• Preston James Kick, D.O.
• Emily Kranzley Killar, PSY.D.
• Rebecca Killion, RD, LDN
• Joanna Kim, PHYSICIAN ASSISTANT

• Family Nurse Practitioner in Media, PA
• Providers in Media, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.

Verify at the official NPI Registry.