Individual provider Active NPI

Ummi Kalsoom Khan, M.D.

  • Internal Medicine Physician
  • Kingston, NJ
National Provider Identifier
1750812764
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA10850400 Issued in NJ
Practice address
4430 Route 27
Kingston, NJ 08528-9613
Phone
(732) 732-4661
Fax
(732) 732-4661
NPI assigned
Mar 22, 2017
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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 25MA10850400 NJ Primary

Addresses

Primary practice location

4430 Route 27
Kingston, NJ 08528-9613

Mailing address

1 Oriole CT
Monmouth Junction, NJ 08852-2972
Phone (732) 732-4661

Other practice location 1

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

Other practice location 2

1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 429-6196

Other practice location 3

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20200923000818 NJ Practitioner - Internal Medicine 2668891771 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians

Practice addresses (Care Compare)

1 Oriole CT
Monmouth Junction, NJ 08852-2972
Phone (732) 732-4661

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10850400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Multispecialty Group Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
First Docs LLC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
A&M Health Services LLC CurrentSince Sep 1, 2024 Accepting new patients
Capital Health System Inc Past Accepting new patients
Mercer Bucks Medical Associates, P.C. Internal Medicine Past Accepting new patients

Locations

599 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 967-0100

2381 Lawrenceville Rd
Lawrenceville, NJ 08648
Phone (609) 896-8152

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

292 Applegarth Rd
Monroe Twp, NJ 08831
Phone (609) 860-2500

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

112 Franklin Corner Rd
Trenton, NJ 08648
Phone (609) 895-0158

445 Whitehorse Ave
Ste 101
Trenton, NJ 08610

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAJJDD/Endpoint/IAJJDD
  • Direct secure messaging: ukhan188957@ahs.direct-ci.com

Organizations & group practices 6

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 5

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1750812764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ORIOLE CT",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522972",
            "telephone_number": "732-732-4661",
            "fax_number": "732-732-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 ROUTE 27",
            "city": "KINGSTON",
            "state": "NJ",
            "postal_code": "085289613",
            "telephone_number": "732-732-4661",
            "fax_number": "732-732-4661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-394-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Bay Ave",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070424837",
            "country_code": "US",
            "telephone_number": "973-429-6196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "UMMI",
        "middle_name": "KALSOOM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10850400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NJ

Sources for this page

Verify at the official NPI Registry.