NPIMap

Individual provider Active NPI

David Tabibian Khot

  • Hospitalist Physician
  • Tarrytown, NY
National Provider Identifier
1619101698
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
266798 Issued in NY
Practice address
70 Carrollwood Dr
Tarrytown, NY 10591-5210
Phone
(914) 631-8954
NPI assigned
May 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 266798-1 NY
Hospitalist Physician 208M00000X 266798 NY Primary

Addresses

Primary practice location

70 Carrollwood Dr
Tarrytown, NY 10591-5210

Mailing address

70 Carrollwood Dr
Tarrytown, NY 10591-5210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130226000074 NY Practitioner - Internal Medicine 6608021571 Reassigns benefits to 3 organizations
I20240812000216 SD Practitioner - HospitalistPractitioner - Internal Medicine 6608021571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Nuvance Health Medical Practice PCGroup PAC ID 1658468442, 578 clinicians

Practice addresses (Care Compare)

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 483-6925

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

Hospital & facility affiliations

  • Hudson Valley Hospice Hospice, Poughkeepsie, NY, CCN 331521
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266798-1NYMDInternal Medicine Physician
266798NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Hospital of the City of Albany Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Avera McKennan Current Accepting new patients
Samaritan Hospital of Troy, New York Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
St. Peter'S Hospital of the City of Albany Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Avera McKennan Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Nuvance Health Medical Practice PC Internal Medicine CurrentSince Dec 1, 2012 Accepting new patients
Avera McKennan CurrentSince Jul 1, 2024 Accepting new patients
Vassar Brothers Hospital Past Accepting new patients
Avera McKennan Past Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

Organizations & group practices 9

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 26

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

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1619101698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CARROLLWOOD DR",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CARROLLWOOD DR",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915210",
            "telephone_number": "914-631-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOT",
        "first_name": "DAVID",
        "middle_name": "TABIBIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "266798-1",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "266798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

Verify at the official NPI Registry.