KOUSAI O ALI KHAN PA
NPI 1023528312
Physician Assistant in Gloversville, NY

Active since October 02, 2017PECOS EnrolledAccepts Medicare Assignment
99 E STATE ST, GLOVERSVILLE, NY 12078(518) 725-8621 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kousai O Ali Khan Pa NPPES

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

KOUSAI O ALI KHAN PA (NPI 1023528312) is an individual physician assistant in Gloversville, New York, licensed in New York (021448) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and maintains a secondary practice location in Schenectady.

NPPES Registry Identity

NPI1023528312
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKOUSAI O ALI KHANCredential: PA
Location Address99 E STATE STGloversville, NY 12078-1203
Mailing Address23 Monroe StGloversville, NY 12078-4119 · (518) 844-4941
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2017
Enumeration DateOctober 2, 2017
Last NPPES UpdateMarch 17, 2018
NPI 1023528312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 021448
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

99 E STATE ST, Gloversville, NY 12078

Secondary Practice Location 1

Location 11101 Nott StSchenectady, NY 12308-2425 · Phone (518) 243-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kousai O Ali Khan Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648545814
PECOS Enrollment IDI20171014000095
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
92 services91 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
79 services76 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
46 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330047
Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County
Emergency services Birthing friendly

Bertrand Chaffee Hospital

Acute Care Hospitals · Springville, NY
OwnershipVoluntary non-profit - Church
CMS Certification Number330111
Location224 East Main StreetSpringville, NY 14141 · Erie County
Emergency services

Nathan Littauer Hospital

Acute Care Hospitals · Gloversville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330276
Location99 East State StreetGloversville, NY 12078 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12078 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 20

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

Anesthesiology
99 E STATE ST
GLOVERSVILLE, NY 12078
Internal Medicine
99 E STATE ST
GLOVERSVILLE, NY 12078
Nurse Practitioner
99 E STATE ST
GLOVERSVILLE, NY 12078
Specialist
99 E STATE ST, MEDCIAL ARTS BUILDING STE 102
GLOVERSVILLE, NY 12078
Physical Therapy Assistant
99 E STATE ST
GLOVERSVILLE, NY 12078
Occupational Therapy Assistant
99 E STATE ST
GLOVERSVILLE, NY 12078
Internal Medicine
99 E STATE ST, MAB-GPCC
GLOVERSVILLE, NY 12078
Psychiatry & Neurology (Neurology)
99 E STATE ST, MAB-GPCC
GLOVERSVILLE, NY 12078

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 Kousai Ali Khan's NPI number?

The NPI number for Kousai Ali Khan is 1023528312. It was assigned to this individual provider in the NPPES registry on October 2, 2017.

Where is Kousai Ali Khan located?

Kousai Ali Khan practices at 99 E State St, Gloversville, NY 12078. The listed phone number is (518) 725-8621.

What is Kousai Ali Khan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kousai Ali Khan enrolled in Medicare?

Yes. Kousai Ali Khan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kousai Ali Khan affiliated with any hospitals?

According to CMS data, Kousai Ali Khan is affiliated with St Mary's Healthcare, Bertrand Chaffee Hospital and Nathan Littauer Hospital.

When was this NPI record last updated?

The NPPES record for Kousai Ali Khan was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.