Muhammad T Khan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

192895 Issued in NY

Practice address

82 Middle Country Rd
Elsie Owens Health Center(Coram) - HRHC, Inc.
Coram, NY 11727-4411

Phone

(631) 320-2220

Fax

(631) 698-8570

NPI assigned

Apr 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Multiviz Medical Services PC

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1720373293
  Medicare reassignment NPD
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Amenia, NY
  • NPI 1568526838
  Medicare reassignment NPD
• Winthrop Geriatric Medicine Associates PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Mineola, NY
  • NPI 1174882625
  Medicare reassignment NPD
• Abiola Olawale Familusi, MD

  • Internal Medicine Physician
  • Blanchester, OH
  • NPI 1649351214

  NY

  Medicare reassignment
• Avalon Gardens Rehabilitation and Health Care Center,LLC

  • Skilled Nursing Facility
  • Smithtown, NY
  • NPI 1962552216
  NPD (past)
• Optima Care Smithtown LLC

  • Skilled Nursing Facility
  • Smithtown, NY
  • NPI 1548778210
  NPD (past)

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1720044258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 MAIN ST",
            "address_2": "HUDSON RIVER HEALTHCARE, INC.",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662913",
            "telephone_number": "914-734-8800",
            "fax_number": "914-734-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MIDDLE COUNTRY RD",
            "address_2": "ELSIE OWENS HEALTH CENTER(CORAM) - HRHC, INC.",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274411",
            "telephone_number": "631-320-2220",
            "fax_number": "631-698-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUHAMMAD",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "192895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01610379",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ildegonde Karererwa
• Veronica Karris
• Patience Kesse
• Khairul Pearson, P.T.a., P.C.
• Eesha Khan
• Nikhat S Khan, M.D.
• Toufiquzzaman Khandaker
• Hye Nam Kim
• Anne Kirkham
• Peter Howard Klein, D.D.S.

• Internal Medicine Physician in Coram, NY
• Providers in Coram, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.