Shahab A Khan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

290975 Issued in NY

Practice address

3 Vermont Dr
New Hyde Park, NY 11042-1128

Phone

(516) 622-6020

NPI assigned

May 5, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Internal Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Glow Wellness Care Medical PLLCGroup PAC ID 6406392877, 2 clinicians

Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332
• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
• Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141
• White Oaks Rehabilitation and Nursing Center Nursing home, Woodbury, NY, CCN 335690
• Silvercrest Nursing home, Jamaica, NY, CCN 335724

Merit-based Incentive Payment System (MIPS)

Final score

82.13 of 100Reported as group

Quality

72.13

Promoting interoperability

91

Improvement activities

40

Cost

75.81

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: skhan371739@nyumc.direct-ci.com

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.

• Glow Wellness Care Medical PLLC

  • Nephrology Physician
  • East Northport, NY
  • NPI 1245072909
  Medicare reassignment Care Compare group NPD Authorized official
• Optum Medical Care, P.C.

  • Cardiovascular Disease Physician
  • Mount Kisco, NY
  • NPI 1982643003
  Medicare reassignment Care Compare group NPD
• New York University

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  Internal Medicine, NY

  Medicare reassignment Care Compare group NPD
• Cogent Medical Care PC

  • Internal Medicine Physician
  • East Patchogue, NY
  • NPI 1912941238
  Medicare reassignment NPD
• East Post Road Medical Services PC

  • Emergency Medicine Physician
  • White Plains, NY
  • NPI 1841767274
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of New York, PLLC

  • Emergency Medicine Physician
  • Bronx, NY
  • NPI 1205944329
  Medicare reassignment NPD
• Southwest Suffolk Medical, P.C.

  • Surgical Oncology Physician
  • Smithtown, NY
  • NPI 1104096049
  Medicare reassignment NPD
• Optum Medical Care, P.C.

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1053190595
  NPD
• Seyyar Khan MD PC

  • Nephrology Physician
  • East Northport, NY
  • NPI 1912749565
  NPD
• Southwest Suffolk Medical PC

  • Family Medicine Physician
  • Lindenhurst, NY
  • NPI 1770919763
  NPD
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613

  Internal Medicine

  NPD
• Long Island Community Hospital at NYU Langone Health

  • General Acute Care Hospital
  • Patchogue, NY
  • NPI 1053354100
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation
• NYU Langone Hospitals

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Patchogue, NY
  • NPI 1013724061

  Hospital

  Care Compare affiliation
• NYU Langone Hospitals

  • General Acute Care Hospital
  • Patchogue, NY
  • NPI 1831910355
  Care Compare affiliation
• The Silvercrest Center for Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Jamaica, NY
  • NPI 1801827076

  Nursing home

  Care Compare affiliation
• White Oaks Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Woodbury, NY
  • NPI 1790772150

  Nursing home

  Care Compare affiliation
• Wsnchs North, Inc.

  • General Acute Care Hospital
  • Bethpage, NY
  • NPI 1013998426
  Care Compare affiliation

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1962812552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 VERMONT DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421128",
            "telephone_number": "516-622-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 VERMONT DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421128",
            "telephone_number": "516-622-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAHAB",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2021-10-06",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "290975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shakhan@prohealthcare.com",
            "affiliation": "N",
            "address_1": "27 Westwood Ln",
            "city": "Woodbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117972600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mehbeen Khan, M.D.
• Muhammad Numan Khan, MD
• Noreen Khan, MD
• Nyle Khan
• Raiyan Khan
• Shamima Khan
• Akash Khanal
• Saema Homaira Khandakar, M.D.
• Ariel Khanimov, M.D.
• Neha Khanna, DO

• Internal Medicine Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.