Individual provider Active NPI

Mushtaq Hussain Khan, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Williamsville, NY
National Provider Identifier
1528013059
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
188925-1 Issued in NY
Practice address
61-Laurel Lane
Williamsville, NY 14221
Phone
(716) 866-8574
Fax
(716) 689-4030
NPI assigned
May 23, 2006
Last updated
Mar 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 188925-1 NY Primary

Addresses

Primary practice location

61-Laurel Lane
Williamsville, NY 14221

Mailing address

61 Laurel LN
Williamsville, NY 14221-8335
Phone (716) 866-8574

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
I20040713000721 NY Practitioner - Emergency Medicine 5991783144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Emergency Medical Services Inc.Group PAC ID 0749182665, 97 clinicians

Practice addresses (Care Compare)

400 N Main St
Warsaw, NY 14569-1025
Phone (585) 786-8940

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as group
Quality
76.13
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
188925-1NYMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wny Medical PC CurrentSince Jul 1, 2025 Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients
University Emergency Medical Services Inc. CurrentSince Jun 1, 2017 Accepting new patients

Locations

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

521 East Ave
Lockport, NY 14094
Phone (716) 434-9111

5875 S Transit Rd
Lockport, NY 14094
Phone (716) 433-7730

3320 N Benzing Rd
Orchard Park, NY 14127
Phone (716) 667-2200

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1528013059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 LAUREL LN",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218335",
            "telephone_number": "716-866-8574",
            "fax_number": "716-689-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61-LAUREL LANE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-866-8574",
            "fax_number": "716-689-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUSHTAQ",
        "middle_name": "HUSSAIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "188925-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.