Individual provider Active NPI

Kamrul A. Khan, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Utica, NY
National Provider Identifier
1750689451
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
255461 Issued in NY
Practice address
2215 Genesee St
Utica, NY 13501-5930
Phone
(315) 801-3484
Fax
(315) 801-3494
NPI assigned
Mar 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 255461 NY
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 255461 NY Primary

Addresses

Primary practice location

2215 Genesee St
Utica, NY 13501-5930

Mailing address

2215 Genesee St
Utica, NY 13501-5930
Phone (315) 801-8534

Other practice location 1

1400 Noyes St
Utica, NY 13502-3854
Phone (315) 738-4405

Other practice location 2

1450 Champlin Ave
Utica, NY 13502-3662
Phone (315) 624-9000

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
I20180808003323 NY Practitioner - PsychiatryPractitioner - Sleep Medicine 2365790219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Sleep Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sleep Disorders Lab of Central New York, LLCGroup PAC ID 5092936898, 2 clinicians
MVHS IncGroup PAC ID 2769380252, 330 clinicians

Practice addresses (Care Compare)

1450 Champlin Ave
Suite 1
Utica, NY 13502-3643
Phone (315) 624-9004

2215 Genesee St
Utica, NY 13501-5930
Phone (315) 801-3484

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255461NYMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Aug 15, 2025 Accepting new patients
Sleep Disorders Lab of Central New York, LLC CurrentSince Aug 1, 2018 Accepting new patients
MVHS Inc CurrentSince Aug 15, 2025 Accepting new patients
Primary Care Metabolic Disorders Medical Practice, PLLC CurrentSince Feb 23, 2020 Accepting new patients

Locations

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

7845 Rome Westernville Rd
Rome, NY 13440
Phone (315) 337-2500

1450 Champlin Ave
Utica, NY 13502
Phone (315) 624-8100

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

2215 Genesee St
Utica, NY 13501
Phone (315) 801-4238

1450 Champlin Ave
Ste 1
Utica, NY 13502
Phone (315) 624-2900

Interoperability endpoints

  • Direct secure messaging: en01651@hiemail.healtheconnections.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1750689451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-801-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-801-3484",
            "fax_number": "315-801-3494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Noyes St",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135023854",
            "country_code": "US",
            "telephone_number": "315-738-4405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Champlin Ave",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135023662",
            "country_code": "US",
            "telephone_number": "315-624-9000",
            "fax_number": "315-624-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "KAMRUL",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-03",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "255461",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NY",
            "license": "255461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.