Sameena Khan, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

215204 Issued in NY

Practice address

21621 Hollis Ave
Queens Village, NY 11429-1948

Phone

(718) 776-2223

Fax

(718) 776-2227

NPI assigned

Jul 29, 2005

Last updated

Jan 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 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

Specialty

Ophthalmology

Education

Icahn School of Medicine at Mount Sinai, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: skhan43475@direct.medisys.org

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.

• TJH Medical Services, P.C.

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1184670465

  Ophthalmology

  Medicare reassignment NPD
• Keith Gurland, M.D.

  • Specialist
  • Bayonne, NJ
  • NPI 1518496843
  Medicare reassignment NPD
• Ophthalmic Associates, PA

  • Ophthalmology Physician
  • Vineland, NJ
  • NPI 1467493692
  Medicare reassignment NPD
• Northeastern Retina, P.C.

  • Ophthalmology Physician
  • Tulsa, OK
  • NPI 1043233133
  NPD (past) Authorized official
• Ophthalmic Associates, PA

  dba The Eye Center Opticians

  • Durable Medical Equipment & Medical Supplies
  • Vineland, NJ
  • NPI 1679750376

  Ophthalmology

  NPD
• Specs Unlimited Inc.

  • Ophthalmology Physician
  • Bayonne, NJ
  • NPI 1265674345
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1801896030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21621 HOLLIS AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291948",
            "telephone_number": "718-776-2223",
            "fax_number": "718-776-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21621 HOLLIS AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291948",
            "telephone_number": "718-776-2223",
            "fax_number": "718-776-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAMEENA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "215204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02215323",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Moskowitz DPM
• Zinaida Khaimchayev
• Nadia Khalid, M.A
• Nazneen Khalid, MD
• Kanij Ayesha Khan
• Sharin Khan
• Tanzina Moslemin Khan
• Yasin Khan
• KHS Pharmacy Inc (County Pharmacy)
• Kids Pride Pediatrics, PC

• Ophthalmology Physician in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.

Verify at the official NPI Registry.