Mohammad Junayed Khan, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

007277 Issued in NY

Practice address

75 E 3Rd St
Dunkirk, NY 14048-2239

Phone

(716) 363-6050

NPI assigned

Apr 9, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Chautauqua Center IncGroup PAC ID 7214178326, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mohammed.khan.1@22211.direct.athenahealth.com

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.

• The Chautauqua Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Dunkirk, NY
  • NPI 1760747521
  Medicare reassignment Care Compare group NPD
• Foot Forward Podiatry PC

  • Podiatrist
  • Staten Island, NY
  • NPI 1487314332
  Medicare reassignment NPD
• Chautauqua PT OT & SLP Professionals PLLC

  • Specialist
  • Jamestown, NY
  • NPI 1710910690
  NPD (past)
• Foot Forward Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
  • NPI 1104152552
  NPD (past)

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

• Brooks - TLC Hospital System Inc

  • Family Medicine Physician
  • Gowanda, NY
  • NPI 1538419502

  Hospital

  Care Compare affiliation
• Brooks - TLC Hospital System, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Derby, NY
  • NPI 1225654494

  Hospital

  Care Compare affiliation
• Brooks - TLC Hospital System, Inc.

  • Urgent Care Clinic/Center
  • Gowanda, NY
  • NPI 1487738886

  Hospital

  Care Compare affiliation
• Brooks-TLC Hospital System, Inc.

  • General Acute Care Hospital
  • Dunkirk, NY
  • NPI 1215917224
  Care Compare affiliation

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1669979563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 E 3RD ST",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482239",
            "telephone_number": "716-363-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E 3RD ST",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482239",
            "telephone_number": "716-363-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD",
        "middle_name": "JUNAYED",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC007169",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "007277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avani Gayathri Kanneganti, MD
• Denice Michele Kaus, RPH
• Kathy Faith Kelley, RN
• Jermaine J Kenner
• John L Keyes, M.D.
• Sarah Kimpton, RDN, CDN
• Jennifer Ruth King
• Rachel Danielle Kirsch, R.D.
• Andrew J. Kiskadden, CRNA
• Tammy Kiszak, PT

• Podiatrist in Dunkirk, NY
• Providers in Dunkirk, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.

Verify at the official NPI Registry.