Individual provider Active NPI

Asif Ali Khan, MD

  • Anesthesiology Physician
  • Kingston, NY
National Provider Identifier
1750808697
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
290583 Issued in NY
Practice address
396 Broadway
Kingston, NY 12401-4626
Phone
(845) 331-3131
Fax
(845) 331-2530
NPI assigned
Aug 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 99620 GA
Anesthesiology Physician 207L00000X 290583 NY Primary

Addresses

Primary practice location

396 Broadway
Kingston, NY 12401-4626

Mailing address

47 Tennyson Way
Pittsford, NY 14534-9528
Phone (607) 968-1983

Other practice location 1

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000

Other practice location 2

241 North Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000

Other practice location 3

42084 State Highway 28
Margaretville, NY 12455-2820
Phone (845) 586-2631

Other practice location 4

105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 338-2500

Other practice location 5

411 Canisteo St
Hornell, NY 14843-2197
Phone (607) 968-1983

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aali1090@urmc.rochester.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180119001789 NY Practitioner - Anesthesiology 0446519425 Reassigns benefits to 6 organizations
I20241021001868 GA Practitioner - Anesthesiology 0446519425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U of R Anesthesiology GroupGroup PAC ID 3476451105, 340 clinicians
North Atlanta Anesthesia Professionals, LLCGroup PAC ID 5496134348, 543 clinicians
Great Lakes Anesthesiology PCGroup PAC ID 7113997529, 90 clinicians

Practice addresses (Care Compare)

10 Miracle Mile Dr
Rochester, NY 14623-5851
Phone (585) 275-2141

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000

1000 S Ave
Rochester, NY 14620-2733
Phone (585) 473-2200

2950 Elmwood Ave
Buffalo, NY 14217-1304
Phone (716) 323-6570

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2141

601 Elmwood Ave Box
Rochester, NY 14642-0001

Hospital & facility affiliations

  • Highland Hospital Hospital, Rochester, NY, CCN 330164
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Physician Health, P.C. Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
St James Hospital CurrentSince Jan 1, 2018 Accepting new patients
Jalaluddin Medical PLLC CurrentSince Jul 1, 2018 Accepting new patients
Great Lakes Anesthesiology, PC CurrentSince Feb 1, 2022 Accepting new patients
U of R Anesthesiology Group Anesthesiology CurrentSince Feb 1, 2020 Accepting new patients
North Atlanta Anesthesia Professionals, LLC Anesthesiology CurrentSince Jun 23, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Anesthesiology CurrentSince Oct 4, 2021 Accepting new patients
Dr a Khan Medical PLLC Current Accepting new patients
Westchester Medical Center Advanced Physician Services PC Anesthesiology CurrentSince Oct 4, 2021 Accepting new patients
J Pain & Spine Care Past Accepting new patients

Locations

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

411 Canisteo St
Hornell, NY 14843
Phone (607) 324-8000

217 Old Ithaca Rd
Horseheads, NY 14845
Phone (607) 731-4644

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080

42084 State Highway 28
Margaretville, NY 12455
Phone (845) 334-2819

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Interoperability endpoints

  • Direct secure messaging: akhan199989@direct.urmc.rochester.edu

Organizations & group practices 10

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 6

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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1750808697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 TENNYSON WAY",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145349528",
            "telephone_number": "607-968-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014626",
            "telephone_number": "845-331-3131",
            "fax_number": "845-331-2530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300467694",
            "country_code": "US",
            "telephone_number": "678-312-1000",
            "fax_number": "678-312-3282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 North Rd",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011154",
            "country_code": "US",
            "telephone_number": "845-483-5000",
            "fax_number": "914-909-9028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42084 State Highway 28",
            "address_purpose": "LOCATION",
            "city": "Margaretville",
            "state": "NY",
            "postal_code": "124552820",
            "country_code": "US",
            "telephone_number": "845-586-2631",
            "fax_number": "845-586-1638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Marys Ave",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124015829",
            "country_code": "US",
            "telephone_number": "845-338-2500",
            "fax_number": "845-331-2530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Canisteo St",
            "address_purpose": "LOCATION",
            "city": "Hornell",
            "state": "NY",
            "postal_code": "148432197",
            "country_code": "US",
            "telephone_number": "607-968-1983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ASIF",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "99620",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "290583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aali1090@urmc.rochester.edu",
            "affiliation": "N",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.