Ishrat Sultana Khan, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

147087-1 Issued in NY

Practice address

13124 Rockaway Blvd
South Ozone Park, NY 11420-2932

Phone

(718) 659-7166

Fax

(718) 529-5930

NPI assigned

Sep 26, 2006

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

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

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1975

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ishrat S. Khan, M.D.,P.C.

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
  • NPI 1265672489
  Medicare reassignment NPD Authorized official
• Hilltop Medical Diagnostic and Treatment Center

  • Multi-Specialty Clinic/Center
  • Bellerose, NY
  • NPI 1275627135
  NPD (past)
• Pain Relief Medical Therapy PC

  • Psychologist
  • So Ozone Park, NY
  • NPI 1073682886
  NPD (past)
• RS Neuro Medical, P.C.

  • Specialist
  • Amityville, NY
  • NPI 1891815122
  NPD (past)
• South Shore Magnetic Resonance Imaging Associates PC

  • Specialist
  • Amityville, NY
  • NPI 1194736199
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1871694364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14226 37TH AVE",
            "address_2": "FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544366",
            "telephone_number": "718-886-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13124 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202932",
            "telephone_number": "718-659-7166",
            "fax_number": "718-529-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ISHRAT",
        "middle_name": "SULTANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "147087-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manpreet Kaur
• Tobi A Keller, OTR/L
• Kennedy Medical PC
• Amanda Rose Kettle, LMSW
• Amanda Khan
• Yefim Khaydatov, OT
• Jin Kim
• Tomas Kiss-Farengo
• Joseph Knights
• Lourdes Kowalski

• Physical Medicine & Rehabilitation Physician in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.