Active NPI
Asif Ali Khan, MD
- Anesthesiology Physician
- Kingston, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 290583
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aali1090@urmc.rochester.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 GroupNorth Atlanta Anesthesia Professionals, LLCGreat Lakes Anesthesiology PC
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
- Kenmore Mercy Hospital
- Sisters of Charity Hospital
- Northside Hospital Gwinnett
- Northside Hospital Duluth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Physician Health, P.C. | Anesthesiology | Current | Accepting new patients |
| St James Hospital | Current | Accepting new patients | |
| Jalaluddin Medical PLLC | Current | Accepting new patients | |
| Great Lakes Anesthesiology, PC | Current | Accepting new patients | |
| U of R Anesthesiology Group | Anesthesiology | Current | Accepting new patients |
| North Atlanta Anesthesia Professionals, LLC | Anesthesiology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services, PC | Anesthesiology | Current | Accepting new patients |
| Dr a Khan Medical PLLC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Anesthesiology | Current | 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
- 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.
-
- Anesthesiology Physician
- Rochester, NY
- NPI 1609806488
Anesthesiology, NY
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1982349296
Anesthesiology, GA
-
- Anesthesiology Physician
- Troy, NY
- NPI 1154376770
Anesthesiology, NY
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
Anesthesiology, NY
-
- Medical Specialty Clinic/Center
- Rochester, NY
- NPI 1437794013
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
Anesthesiology
-
- Neurological Surgery Physician
- Horseheads, NY
- NPI 1679091227
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
Hospital
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.