Individual provider Active NPI

Rashida Khanam, M.D.

  • Psychiatry Physician
  • Amherst, NY
National Provider Identifier
1932153004
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD235325 Issued in NY
Practice address
4985 Harlem Road
Amherst, NY 14226
Phone
(716) 839-0500
Fax
(716) 839-0523
NPI assigned
May 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 235325 NY
Psychiatry Physician 2084P0800X MD235325 NY Primary

Addresses

Primary practice location

4985 Harlem Road
Amherst, NY 14226

Mailing address

4985 Harlem Rd
Amherst, NY 14226
Phone (716) 839-0500

Other identifiers 1

IdentifierTypeStateIssuer
01557937MedicaidNY

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
I20050816000242 NY Practitioner - PsychiatryPractitioner - Neurology 1052340726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wny Medical PCGroup PAC ID 9335191733, 44 clinicians

Practice addresses (Care Compare)

4985 Harlem Rd
Amherst, NY 14226-2544
Phone (716) 839-0500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1093NYMDAcupuncturist
001093NYMDMidwife
MD235325NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brylin Hospitals, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Wny Medical PC Psychiatry CurrentSince Aug 1, 2013 Accepting new patients
Niagara Frontier Psychiatric Associates Psychiatry Past Accepting new patients

Locations

4985 Harlem Rd
Amherst, NY 14226
Phone (716) 204-9876

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

531 Farber Lakes Dr
Williamsville, NY 14221
Phone (716) 632-1595

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1932153004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4985 HARLEM RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-839-0500",
            "fax_number": "716-839-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4985 HARLEM ROAD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-839-0500",
            "fax_number": "716-839-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANAM",
        "first_name": "RASHIDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-21",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "235325",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "MD235325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01557937",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.