Individual provider Active NPI

Tahir Khan, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1548577182
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
271578 Issued in NY
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

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MD9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20131105000098 NY Practitioner - Psychiatry 4385879014 Reassigns benefits to 2 organizations
I20190430000648 WI Practitioner - Psychiatry 4385879014 Reassigns benefits to 4 organizations
I20210129002106 NE Practitioner - Psychiatry 4385879014 Reassigns benefits to 1 organization
I20220906001815 NJ Practitioner - Psychiatry 4385879014
I20220912000499 GA Practitioner - Psychiatry 4385879014 Reassigns benefits to 1 organization
I20250516000693 VA Practitioner - Psychiatry 4385879014 Reassigns benefits to 1 organization
I20250519000856 DC Practitioner - Psychiatry 4385879014 Reassigns benefits to 1 organization
I20250701002910 WV Practitioner - Psychiatry 4385879014 Reassigns benefits to 1 organization
I20260304001699 MD Practitioner - Psychiatry 4385879014 Reassigns benefits to 1 organization

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
Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians

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

LicenseStateTypeSpecialty
C160882CAMDPsychiatry Physician
271578NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SBH Physicians, PC Psychiatry CurrentSince Mar 22, 2016 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Apr 18, 2019 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Apr 18, 2019 Accepting new patients
Unmc Physicians CurrentSince Jan 14, 2021 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Apr 18, 2019 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Apr 18, 2019 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Apr 18, 2019 Accepting new patients
SBH Physicians, PC CurrentSince Mar 22, 2016 Accepting new patients
Psych Associates of Maryland LLC Psychiatry CurrentSince Apr 1, 2025 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Apr 18, 2019 Accepting new patients
Butte Des Morts Pathology, S.C. Current Accepting new patients
Maimonides Department of Psychiatry FPP Psychiatry CurrentSince Oct 1, 2013 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Apr 18, 2019 Accepting new patients
Floyd Physicians, LLC Psychiatry CurrentSince Jun 1, 2022 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. PastSince Jan 21, 2020 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

  • Direct secure messaging: 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.

View all 17

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

Verify at the official NPI Registry.