Active NPI
Tahir Khan, M.D.
- Psychiatry Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 271578
- Practice address
- 4802 10TH Ave
Brooklyn, NY 11219-2916 - Phone
- (718) 283-6000
- NPI assigned
- Sep 2, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C160882 | CA | |
| Psychiatry Physician | 2084P0800X | 271578 | NY | Primary |
Addresses
Primary practice location
4802 10TH Ave
Brooklyn, NY 11219-2916
Mailing address
1537 Kennedy Blvd
Apt 2
Jersey City, NJ 07305-1734
Phone (646) 416-2180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, WI, NE, NJ, GA, VA, DC, WV, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
115 Baltimore St
Cumberland, MD 21502-2363
Phone (667) 668-2566
120 Sister Pierre Dr
Suite 403
Towson, MD 21204-7536
Phone (410) 823-6408
124 N Main St
Suite C
Berlin, MD 21811-1062
Phone (410) 641-4598
1447 York Rd
Suite 601
Lutherville, MD 21093-6034
Phone (410) 823-6408
18 N Hanson St
Suite 1 Bloom Health Centers
Easton, MD 21601-3134
Phone (667) 668-2566
198 Thomas Johnson Dr
Frederick, MD 21702-4398
Phone (410) 823-6408
250 E Elizabeth St
Suite 101
Harrisonburg, VA 22802-4159
Phone (703) 812-4642
7700 E Parham Rd
Richmond, VA 23294-4301
Phone (703) 812-4642
8140 Ashton Ave
Suite 112
Manassas, VA 20109-5699
Phone (703) 812-4642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C160882 | CA | MD | Psychiatry Physician |
| 271578 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SBH Physicians, PC | Psychiatry | Current | Accepting new patients |
| Ascension NE Wisconsin, Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Unmc Physicians | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| The Howard Young Medical Center, Inc. | Current | Accepting new patients | |
| Ascension NE Wisconsin, Inc | Current | Accepting new patients | |
| SBH Physicians, PC | Current | Accepting new patients | |
| Psych Associates of Maryland LLC | Psychiatry | Current | Accepting new patients |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Butte Des Morts Pathology, S.C. | Current | Accepting new patients | |
| Maimonides Department of Psychiatry FPP | Psychiatry | Current | Accepting new patients |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Floyd Physicians, LLC | Psychiatry | Current | Accepting new patients |
| Anesthesiology Associates of Boro Park, LLP | Past | Accepting new patients | |
| MMC OB-GYN Faculty Practice Plan | Past | Accepting new patients | |
| Neta, Inc. | Past | Accepting new patients |
Locations (25 of 26)
420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
29980 Network Pl
Chicago, IL 60673
4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799
2331 York Rd
Ste 100
Timonium, MD 21093
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
111 E 210th St
Bronx, NY 10467
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163
7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700
3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000
Interoperability endpoints
- tkhan444510@hisp.ehr.sutterhealth.org
Organizations & group practices 17
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.
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1376656710
-
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- General Acute Care Hospital
- Woodruff, WI
- NPI 1184673352
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Pediatrics Physician
- Bronx, NY
- NPI 1457665937
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1912527193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1548577182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1537 KENNEDY BLVD",
"address_2": "APT 2",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073051734",
"telephone_number": "646-416-2180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916",
"telephone_number": "718-283-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "TAHIR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-02",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C160882",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "271578",
"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 Nov 17, 2020; 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.