Kamal Khan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

233937 Issued in NY

Practice address

10311 Northern Blvd
1St Floor
Corona, NY 11368-1136

Phone

(718) 205-0500

Fax

(718) 205-0505

NPI assigned

Mar 28, 2006

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

Other identifiers 2

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

Specialty

Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DJHHBA/Endpoint/DJHHBA

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.

• Dream Medical Care, PC

  • Legal Medicine
  • Corona, NY
  • NPI 1548410780
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1467413872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10311 NORTHERN BLVD",
            "address_2": "1ST FLOOR",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681136",
            "telephone_number": "718-205-0500",
            "fax_number": "718-205-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10311 NORTHERN BLVD",
            "address_2": "1ST FLOOR",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681136",
            "telephone_number": "718-205-0500",
            "fax_number": "718-205-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "KAMAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK MEDICARE GHI",
            "identifier": "G400000834",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02670111",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fay Kendall
• Robert V Kennedy
• Kew Gardens Optometry, P.C.
• Barno Khaimova
• Aleksandr Khaitov
• Nazneen Nahar Khan, MD
• Usman Khan, PHARM.D.
• Ashmita Khatri
• Emily Khodosh
• Nellya Kikirova

• Internal Medicine Physician in Corona, NY
• Providers in Corona, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.