Individual provider Active NPI

Yusuf Mujtaba Khan, MD

  • Pulmonary Disease Physician
  • Morrisville, PA
National Provider Identifier
1962424655
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD039495L Issued in PA
Practice address
423 N Pennsylvania Avenue
Morrisville, PA 19067-6622
Phone
(215) 295-9131
Fax
(215) 736-8535
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD039495L PA Primary
Pulmonary Disease Physician 207RP1001X MA04637800 NJ

Addresses

Primary practice location

423 N Pennsylvania Avenue
Morrisville, PA 19067-6622

Mailing address

423 N Pennsylvania Avenue
Morrisville, PA 19067-6622
Phone (215) 295-9131

Other identifiers 4

IdentifierTypeStateIssuer
3937101MedicaidNJ
987612OtherPAPABS
0016703610001MedicaidPA
0529502000OtherPAKEYSTONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080617000437 PA Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 2961573035 Reassigns benefits to 1 organization
I20250515001301 NJ Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 2961573035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Critical Care and Sleep Medicine Assoc PCGroup PAC ID 7719979202, 2 clinicians

Practice addresses (Care Compare)

11 Friends Lane
Suite 104
Newtown, PA 18940-1885

11 Friends LN
Suite 104
Newtown, PA 18940-1885
Phone (215) 860-3630

Hospital & facility affiliations

  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA04637800NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Critical Care & Sleep Medicine Assoc PC Pulmonary Disease CurrentSince Jul 1, 2003 Accepting new patients

Locations

2381 Lawrenceville Rd
Trenton, NJ 08648
Phone (609) 896-8152

11 Friends Ln
Ste 104
Newtown, PA 18940
Phone (215) 579-2197

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962424655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 N PENNSYLVANIA AVENUE",
            "city": "MORRISVILLE",
            "state": "PA",
            "postal_code": "190676622",
            "telephone_number": "215-295-9131",
            "fax_number": "215-736-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N PENNSYLVANIA AVENUE",
            "city": "MORRISVILLE",
            "state": "PA",
            "postal_code": "190676622",
            "telephone_number": "215-295-9131",
            "fax_number": "215-736-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "YUSUF",
        "middle_name": "MUJTABA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD039495L",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA04637800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3937101",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PABS",
            "identifier": "987612",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016703610001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0529502000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, PA

Sources for this page

Verify at the official NPI Registry.