Individual provider Active NPI

Ali Khan, MD

  • Emergency Medicine Physician
  • Yorktown Heights, NY
National Provider Identifier
1700856929
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
276760-03 Issued in NY
Practice address
2675 Evergreen St
Yorktown Heights, NY 10598-3333
Phone
(419) 345-3192
NPI assigned
Jan 23, 2006
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 276760-03 NY Primary

Addresses

Primary practice location

2675 Evergreen St
Yorktown Heights, NY 10598-3333

Mailing address

2675 Evergreen St
Yorktown Heights, NY 10598-3333
Phone (419) 345-3192

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415003066 NY Practitioner - General Practice 1658273362 Practice locations: Yorktown Heights, NY

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Yorktown Heights, NY 10598
Phone (419) 345-3192

2675 Evergreen St
Yorktown Heights, NY 10598-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
276760-03NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Ohio Inc Emergency Medicine Past Accepting new patients
Nes Ohio, Inc. Emergency Medicine Past Accepting new patients
Community Memorial Hospital Past Accepting new patients
Nes Ohio, Inc. Emergency Medicine Past Accepting new patients
Tiffin Emergency Services, LLC Emergency Medicine Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1700856929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 EVERGREEN ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105983333",
            "telephone_number": "419-345-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 EVERGREEN ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105983333",
            "telephone_number": "419-345-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "276760-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

Verify at the official NPI Registry.