NPIMap

Individual provider Active NPI

Muneeb Khan, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1831653906
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
319732 Issued in NY
Practice address
715 9TH Ave
New York, NY 10019-7359
Phone
(212) 757-3859
NPI assigned
Jan 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 319732 NY Primary

Addresses

Primary practice location

715 9TH Ave
New York, NY 10019-7359

Mailing address

715 9TH Ave
New York, NY 10019-7359
Phone (631) 524-9917

Other practice location 1

420 E 51st St Ofc A
New York, NY 10022-8014
Phone (212) 688-8887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230118002800 NY Practitioner - Family Practice 3779954391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

355 W 52ND St
New York, NY 10019-6239
Phone (646) 778-5555

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
319732NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Physicians of Nyc, PLLC Family Medicine CurrentSince Sep 13, 2022 Accepting new patients
Eastside Physicians of Nyc, PLLC CurrentSince Sep 13, 2022 Accepting new patients
New York University CurrentSince Oct 11, 2023 Accepting new patients
New York University CurrentSince Oct 11, 2023 Accepting new patients
Aurelia Medical LLC Current Accepting new patients

Locations

420 E 51st St
Ste A
New York, NY 10022
Phone (212) 688-8887

715 9th Ave
New York, NY 10019
Phone (212) 757-2015

360 W 31st St
Fl 4
New York, NY 10001

360 W 31st St
Fl 3
New York, NY 10001
Phone (646) 987-3436

355 W 52nd St
New York, NY 10019
Phone (646) 754-2100

Interoperability endpoints

  • Direct secure messaging: mkhan136374@nyumc.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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1831653906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100197359",
            "telephone_number": "631-524-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100197359",
            "telephone_number": "212-757-3859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E 51st St Ofc A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100228014",
            "country_code": "US",
            "telephone_number": "212-688-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUNEEB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-23",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "319732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.