Individual provider Active NPI

Shafiq Rehman Khokhar, MD

  • Geriatric Psychiatry Physician
  • Ozone Park, NY
National Provider Identifier
1871685495
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
215335 Issued in NY
Practice address
9217 101St Ave
Ozone Park, NY 11416-2316
Phone
(718) 845-6500
Fax
(718) 845-6569
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 215335 NY Primary

Addresses

Primary practice location

9217 101St Ave
Ozone Park, NY 11416-2316

Mailing address

90 N Sheridan Ave
Bethpage, NY 11714-3611
Phone (718) 845-6500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040412001416 NY Practitioner - PsychiatryPractitioner - Addiction MedicinePractitioner - Neuropsychiatry 1850385956 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine, Neuropsychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Francis HospitalGroup PAC ID 9234101221, 96 clinicians
Mercy Medical CenterGroup PAC ID 4082518006, 83 clinicians
Universal Medical Care PCGroup PAC ID 1052370988, 2 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1353
Phone (516) 562-6000

1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (516) 705-3428

90 N Sheridan Ave
Bethpage, NY 11714-3611

9217 101St Ave
Ozone Park, NY 11416-2316
Phone (718) 845-6500

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
  • St Charles Hospital Inpatient rehabilitation facility, Port Jefferson, NY, CCN 33T246

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
88.22
Promoting interoperability
100
Improvement activities
40
Cost
73.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215335NYMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Charles Hospital Corp CurrentSince Mar 19, 2019 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Jul 2, 2019 Accepting new patients
St. Joseph Hospital CurrentSince Jul 2, 2019 Accepting new patients
St Francis Hospital United States Catholic Conference CurrentSince Mar 19, 2019 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
St. Francis Hospital Current Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Medical Center CurrentSince Mar 22, 2011 Accepting new patients
Mercy Medical Center CurrentSince Mar 22, 2011 Accepting new patients
St. Catherine of Siena Medical Center CurrentSince Oct 3, 2018 Accepting new patients
Federation of Organizations for the Ny State Mentally Disabled Inc CurrentSince Dec 4, 2017 Accepting new patients
Universal Medical Care, PC CurrentSince Jan 1, 1990 Accepting new patients
St. Francis Hospital CurrentSince Mar 19, 2019 Accepting new patients
Mercy Medical Center Past Accepting new patients

Locations

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

9217 101st Ave
Ozone Park, NY 11416
Phone (412) 452-4262

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

240A Long Island Ave
Wyandanch, NY 11798
Phone (631) 782-6200

Networks

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

Organizations & group practices 15

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.

View all 15

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1871685495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 N SHERIDAN AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143611",
            "telephone_number": "718-845-6500",
            "fax_number": "718-845-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162316",
            "telephone_number": "718-845-6500",
            "fax_number": "718-845-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOKHAR",
        "first_name": "SHAFIQ",
        "middle_name": "REHMAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "215335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

Verify at the official NPI Registry.