Saif Ullah Khan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

172222 Issued in NY

Practice address

3 Split Rock Rd
Pound Ridge, NY 10576-1845

Phone

(914) 533-1157

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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

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.

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  Medicare reassignment NPD
• Peninsula Medical Services PC

  • Pediatric Orthopaedic Surgery Physician
  • Far Rockaway, NY
  • NPI 1609095280

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831215268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SPLIT ROCK RD",
            "city": "POUND RIDGE",
            "state": "NY",
            "postal_code": "105761845",
            "telephone_number": "914-533-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SPLIT ROCK RD",
            "city": "POUND RIDGE",
            "state": "NY",
            "postal_code": "105761845",
            "telephone_number": "914-533-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAIF",
        "middle_name": "ULLAH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "172222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Derfel Nutrition PLLC
• Juliana Associates
• Cindy Kabat
• Jackie Kalter
• Eileen Elizabeth Kelly, LPN
• Kristin Dillane, Licensed Clinical Social Worker, P.C.
• Gail Ann Lauro, D.C
• Jaime Marie Lowery, OTR/L
• Arleen Wendy Luddy
• Catherine T Marino, MD

• Internal Medicine Physician in Pound Ridge, NY
• Providers in Pound Ridge, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.