Individual provider Active NPI

Kokab Khan

  • Hospitalist Physician
  • Altoona, PA
National Provider Identifier
1689800617
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD447201 Issued in PA
Practice address
1414 9TH Ave
Altoona, PA 16602-2415
Phone
(814) 946-1655
NPI assigned
Jun 4, 2009
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD447201 PA Primary

Addresses

Primary practice location

1414 9TH Ave
Altoona, PA 16602-2415

Mailing address

620 Howard Ave
Op302
Altoona, PA 16601-4804

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130415000399 PA Practitioner - Internal MedicinePractitioner - Family Practice 3779729835 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pottstown Clinic Company LLCGroup PAC ID 6406857184, 112 clinicians

Practice addresses (Care Compare)

1600 E High St
Pottstown, PA 19464-5093
Phone (610) 327-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD447201PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona CurrentSince Jan 25, 2015 Accepting new patients
Tower Health Medical Group CurrentSince Jul 1, 2023 Accepting new patients
Gslpg, Inc CurrentSince Jan 1, 2022 Accepting new patients
Lexington Hospitalists, Inc. Family Medicine CurrentSince Jul 1, 2006 Accepting new patients
Upmc Altoona CurrentSince Jan 25, 2015 Accepting new patients
Tower Health Medical Group Family Medicine Current Accepting new patients
Pottstown Clinic Company LLC Family Medicine CurrentSince Jun 7, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine Current Accepting new patients
St Luke's Physician Group Inc Family Medicine CurrentSince Jan 20, 2022 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Jul 1, 2023 Accepting new patients
St. Luke's Physician Group, Inc CurrentSince Jan 20, 2022 Accepting new patients
Tower Health Medical Group CurrentSince Jul 1, 2023 Accepting new patients
Phoenixville Clinic Company LLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Main Line Healthcare Family Medicine CurrentSince Dec 17, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Altoona Past Accepting new patients
Pottstown Hospital, LLC Past Accepting new patients
Upmc Altoona Past Accepting new patients

Locations

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

1414 9th Ave
#B
Altoona, PA 16602

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

620 Howard Ave
#302
Altoona, PA 16601
Phone (814) 889-2011

620 Howard Ave
Fl Fifth
Altoona, PA 16601
Phone (814) 889-2223

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

306 Plum St
Williamsburg, PA 16693
Phone (814) 832-3405

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • Direct secure messaging: upmchospitals@upmcdirect.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

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": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1689800617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE",
            "address_2": "OP302",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 9TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022415",
            "telephone_number": "814-946-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "KOKAB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD447201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.