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DR. SHAFIULLA KHAN DDS
NPI 1013030261
Dentist in Elmhurst, NY

Active since April 10, 2007PECOS Enrolled
5611 94TH ST, SUITE # LN, ELMHURST, NY 11373(718) 271-4424(718) 271-4799 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shafiulla Khan Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHAFIULLA KHAN DDS (NPI 1013030261) is an individual dentist in Elmhurst, New York, licensed in New York (049662) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013030261
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SHAFIULLA KHANCredential: DDS
Location Address5611 94TH ST, SUITE # LNElmhurst, NY 11373-5080
Mailing Address5611 94th St, Suite # LnElmhurst, NY 11373-5080 · (718) 271-4424 · Fax (718) 271-4799
Phone(718) 271-4424
Fax(718) 271-4799
Sole ProprietorNo
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013030261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 049662
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5611 94TH ST, Elmhurst, NY 11373
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Other Identifiers 1

Medicaid02320703NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shafiulla Khan Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MOHAMMED MANSOORUL IMAM DDS
Dentist (General Practice)
5611 94TH ST, SUITE # LN
ELMHURST, NY 11373
Queens County (718) 271-4424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shafiulla Khan's NPI number?

The NPI number for Shafiulla Khan is 1013030261. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Shafiulla Khan located?

Shafiulla Khan practices at 5611 94th St Suite # Ln, Elmhurst, NY 11373. The listed phone number is (718) 271-4424.

What is Shafiulla Khan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Shafiulla Khan enrolled in Medicare?

Yes. Shafiulla Khan is registered in the Medicare PECOS enrollment system.

What insurance does Shafiulla Khan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Shafiulla Khan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shafiulla Khan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.