NPIMap

Individual provider Active NPI

Sultan Sikanderali Khan, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1740364504
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
193824 Issued in NY
Practice address
1602 Quentin Rd
Brooklyn, NY 11229-1250
Phone
(718) 645-7105
Fax
(718) 339-8953
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 193824 NY Primary

Addresses

Primary practice location

1602 Quentin Rd
Brooklyn, NY 11229-1250

Mailing address

195 Laguardia Ave
Staten Island, NY 10314-5685
Phone (718) 645-7105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050416000086 NY Practitioner - Internal Medicine 1951348390 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY; Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11 Ralph PL
Suite 211
Staten Island, NY 10304-4424
Phone (718) 727-0707

1602 Quentin Rd
Brooklyn, NY 11229-1250
Phone (718) 645-7105

195 Laguardia Ave
Staten Island, NY 10314-5685

2525 Kings Hwy
Brooklyn, NY 11229-1705
Phone (718) 692-5300

2840 Knapp St
Brooklyn, NY 11235-1112
Phone (718) 646-5700

3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone (718) 951-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.1 of 100Reported as individual
Quality
79.04
Promoting interoperability
98
Improvement activities
40
Cost
79.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
193824NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sultan S. Khan, MD, PC. Internal Medicine CurrentSince Jan 8, 2017 Accepting new patients
Beth Israel Medical Center Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients
New York Community Hospital of Brooklyn Inc Past Accepting new patients
University Group Medical Associates, P.C Internal Medicine Past Accepting new patients
A & Q Medical Care PLLC Internal Medicine Past Accepting new patients
Sheepshead Nursing and Rehabilitation Center LLC Past Accepting new patients
Richmond University Medical Center Past Accepting new patients

Locations

2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300

2840 Knapp St
Brooklyn, NY 11235
Phone (516) 405-6700

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

615 Avenue C
Brooklyn, NY 11218
Phone (718) 633-3300

11 Ralph Pl
Ste 211
Staten Island, NY 10304
Phone (347) 556-7180

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBGCCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBGCCA/Endpoint/JBGCCA

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740364504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 LAGUARDIA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145685",
            "telephone_number": "718-645-7105",
            "fax_number": "718-339-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291250",
            "telephone_number": "718-645-7105",
            "fax_number": "718-339-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SULTAN",
        "middle_name": "SIKANDERALI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "193824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.