Individual provider Active NPI

Nasimullah Khan, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1477947711
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
301378 Issued in NY
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

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191126001897 NY Practitioner - Family Practice 5294028296 Reassigns benefits to 3 organizations

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 Hospital, Brooklyn, NY, CCN 330396

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Interventional Spine and Pain Medicine PC CurrentSince Oct 13, 2019 Accepting new patients
North Shore - Lij Medical PC CurrentSince Oct 11, 2025 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Ny Family Physician PC Family Medicine CurrentSince Jan 18, 2022 Accepting new patients
Glutality Provider Group of New Jersey, PA. PastSince May 29, 2023 Accepting new patients
Borough Heart & Vascular Care P.C PastSince Sep 1, 2019 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

  • Direct secure messaging: nkhan66223@northwell.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.