Active NPI
Nasimullah Khan, MD
- Family Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 301378
- Practice address
- 2020 Cortelyou Rd
Brooklyn, NY 11226-5904 - Phone
- (718) 689-7353
- Fax
- (718) 475-2079
- NPI assigned
- Mar 25, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 301378 | NY | Primary |
Addresses
Primary practice location
2020 Cortelyou Rd
Brooklyn, NY 11226-5904
Mailing address
2020 Cortelyou Rd Apt 403
Brooklyn, NY 11226-5904
Phone (718) 689-7353
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
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2020 Cortelyou Rd
Brooklyn, NY 11226-5904
Phone (718) 569-7925
Hospital & facility affiliations
- Woodhull Medical & Mental Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Interventional Spine and Pain Medicine PC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| Ny Family Physician PC | Family Medicine | Current | Accepting new patients |
| Glutality Provider Group of New Jersey, PA. | Past | Accepting new patients | |
| Borough Heart & Vascular Care P.C | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
405 5th Ave
Brooklyn, NY 11215
Phone (718) 768-7246
2020 Cortelyou Rd
Brooklyn, NY 11226
Phone (718) 569-7925
2020 Cortelyou Rd
Apt 403
Brooklyn, NY 11226
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- nkhan66223@northwell.direct-ci.com
- nasimullahkhan@mai.allscriptsdirect.net
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1538730338
-
- Pain Clinic/Center
- Brooklyn, NY
- NPI 1235484726
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Clinic/Center
- Brooklyn, NY
- NPI 1609236637
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1467469023
-
- Internal Medicine Physician
- Neptune, NJ
- NPI 1396335675
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1467469023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1477947711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 CORTELYOU RD APT 403",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112265904",
"telephone_number": "718-689-7353",
"fax_number": "718-475-2079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CORTELYOU RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112265904",
"telephone_number": "718-689-7353",
"fax_number": "718-475-2079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "NASIMULLAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-25",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "301378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.