NPIMap

Individual provider Active NPI

Talal Najeeb Khan, M.D.

  • Internal Medicine Physician
  • East Longmeadow, MA
National Provider Identifier
1861406613
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
239014 Issued in MA
Practice address
98 Shaker Road
East Long Meadow, MA 01028
Phone
(413) 798-0301
Fax
(413) 224-2685
NPI assigned
Jul 28, 2006
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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 239014 MA Primary

Addresses

Primary practice location

98 Shaker Road
East Long Meadow, MA 01028

Mailing address

299 Carew St. Ste 234
Springfield, MA 01104
Phone (413) 787-2575

Other identifiers 1

IdentifierTypeStateIssuer
110085212AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090917000432 MA Practitioner - Internal Medicine 1658302377 Reassigns benefits to 2 organizations
I20260518000995 CT Practitioner - Internal Medicine 1658302377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Primary Care and Weight Management LLCGroup PAC ID 3577821875, 12 clinicians

Practice addresses (Care Compare)

15 Palomba Dr
Suite 4
Enfield, CT 06082-3853
Phone (860) 967-0606

299 Carew St
Suite 234
Springfield, MA 01104-2368
Phone (413) 787-2575

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Primary Care and Weight Management, LLC Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
Mercy Inpatient Medical Associates Inc. Internal Medicine CurrentSince Feb 5, 2012 Accepting new patients
Eastport Health Care, Inc. Past Accepting new patients
The Mercy Hospital Inc Past Accepting new patients
Holyoke Medical Center, Inc. PastSince Oct 24, 1995 Accepting new patients

Locations

15 Palomba Dr
Ste 4
Enfield, CT 06082
Phone (860) 253-9950

98 Shaker Rd
East Longmeadow, MA 01028
Phone (413) 525-1554

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

175 Carew St
Ste 200
Springfield, MA 01104
Phone (413) 734-8254

233 Carew St
#101
Springfield, MA 01104
Phone (413) 748-9212

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

299 Carew St
Ste 119
Springfield, MA 01104
Phone (413) 736-1500

299 Carew St
Ste 234
Springfield, MA 01104
Phone (413) 732-5580

300 Stafford St
Ste 210
Springfield, MA 01104
Phone (413) 737-2277

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8309/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 6

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1861406613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 CAREW ST. STE 234",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01104",
            "telephone_number": "413-787-2575",
            "fax_number": "413-787-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 SHAKER ROAD",
            "city": "EAST LONG MEADOW",
            "state": "MA",
            "postal_code": "01028",
            "telephone_number": "413-798-0301",
            "fax_number": "413-224-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "TALAL",
        "middle_name": "NAJEEB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "239014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110085212A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.