Individual provider Active NPI

David Khanan, MD

  • Physical Medicine & Rehabilitation Physician
  • Hempstead, NY
National Provider Identifier
1902813728
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
228173 Issued in NY
Practice address
717 Front
Hempstead, NY 11550-3033
Phone
(516) 565-4370
Fax
(516) 565-2644
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 228173 NY Primary

Addresses

Primary practice location

717 Front
Hempstead, NY 11550-3033

Mailing address

717 Front
Hempstead, NY 11550-3033
Phone (516) 565-4370

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
I20090409000614 NY Practitioner - Physical Medicine and Rehabilitation 5496667149 Reassigns benefits to 2 organizations
Practice locations: Forest Hills, NY; Jamaica, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 Walnut Rd
Glen Cove, NY 11542-2267
Phone (516) 609-9400

717 Front St
Hempstead, NY 11550-4534
Phone (516) 565-4370

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Medical Health Wellness, PC CurrentSince May 15, 2011 Accepting new patients
Front Street Medical PC Physical Medicine & Rehabilitation PastSince Apr 18, 2007 Accepting new patients
Ny Priority Medical Care PLLC Past Accepting new patients

Locations

7 Walnut Rd
Glen Cove, NY 11542
Phone (516) 609-3100

3 Dosoris Ln
Glen Cove, NY 11542
Phone (516) 609-3100

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1902813728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 FRONT",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503033",
            "telephone_number": "516-565-4370",
            "fax_number": "516-565-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 FRONT",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503033",
            "telephone_number": "516-565-4370",
            "fax_number": "516-565-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANAN",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "228173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.