Active NPI
Imran Khalid, M.D.
- Internal Medicine Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 265410
- Practice address
- 4771 Hylan Blvd
Staten Island, NY 10312-6315 - Phone
- (718) 948-8200
- Fax
- (718) 420-2718
- NPI assigned
- May 23, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 265410 | NY | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 265410 | NY |
Addresses
Primary practice location
4771 Hylan Blvd
Staten Island, NY 10312-6315
Mailing address
55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888
Other practice location 1
375 Seguine Ave
Staten Island University Hospital (South)
Staten Island, NY 10309-3932
Phone (718) 226-4374
Other practice location 2
1050 Clove Rd
Staten Island, NY 10301-3627
Phone (718) 816-6440
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
242 Mason Ave
Staten Island, NY 10305-3408
Phone (718) 226-6832
4771 Hylan Blvd
Staten Island, NY 10312-6315
Phone (718) 948-8200
Hospital & facility affiliations
- North Shore Home Care Chha
- Archcare at Home
- Staten Island University Hospital
- NYU Langone Hospitals
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 265410 | NY | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians of University Hospital, PC | Internal Medicine | Current | Accepting new patients |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Advantagecare Physicians PC | Internal Medicine | Current | Accepting new patients |
| Physicians of University Hospital, PC | Current | Accepting new patients |
Locations
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
55 Water St
Fl 2
New York, NY 10041
300 Community Dr
Plandome, NY 11030
375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000
1050 Clove Rd
Staten Island, NY 10301
Phone (718) 816-6440
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186
4771 Hylan Blvd
Staten Island, NY 10312
Phone (718) 948-8200
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- ikhalid12447@direct.acpny.com
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
- ikhalid66222@northwell.direct-ci.com
Organizations & group practices 5
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.
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Manhasset, NY
- NPI 1417965278
-
- Home Health Agency
- Westbury, NY
- NPI 1861464471
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
-
- Home Health Agency
- Valhalla, NY
- NPI 1821184839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1407116551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WATER ST FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410010",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4771 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103126315",
"telephone_number": "718-948-8200",
"fax_number": "718-420-2718"
}
],
"practiceLocations": [
{
"address_1": "375 Seguine Ave",
"address_2": "Staten Island University Hospital (South)",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103093932",
"country_code": "US",
"telephone_number": "718-226-4374",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 Clove Rd",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103013627",
"country_code": "US",
"telephone_number": "718-816-6440",
"fax_number": "718-816-3611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHALID",
"first_name": "IMRAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-23",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "265410",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "265410",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.