DR. MANSOOR A KHAN D.O.
NPI 1104081900
Family Medicine in Ozone Park, NY

Q: What is Mansoor Khan's NPI number?

The NPI number for Mansoor Khan is 1104081900. It was assigned to this individual provider in the NPPES registry on July 22, 2008. The provider is also known as Dr. Mansoor A Khan D.O..

Q: What is Mansoor Khan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mansoor Khan was last updated on April 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 22, 2008PECOS Enrolled

9217 101ST AVE, OZONE PARK, NY 11416(412) 452-4262 Get Directions Write a Review

NPPES record last updated: April 13, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Mansoor A Khan D.o. NPPES

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

DR. MANSOOR A KHAN D.O. (NPI 1104081900) is an individual family medicine provider in Ozone Park, New York, licensed in New York (265529) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104081900

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MANSOOR A KHANCredential: D.O.

Location Address9217 101ST AVEOzone Park, NY 11416-2316

Mailing Address9217 101st AveOzone Park, NY 11416-2316 · (412) 452-4262

Phone(412) 452-4262

Sole ProprietorYes

Enumeration DateJuly 22, 2008

Last NPPES UpdateApril 13, 2013

✔ NPI 1104081900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 265529

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 265529 (NY)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 265529 (NY)

9217 101ST AVE, Ozone Park, NY 11416

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Other Names 1

Professional Name (2)Dr. Mansoor A Khan D.o.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mansoor A Khan D.o. 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.

Medicare Billing Reassignments

Medicare enrollment records show Mansoor Khan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

City Care Health Practice Rpa PLLC

6.9 mi

Family Medicine

29 NEWKIRK PLZ STE 1
Brooklyn, NY 11226

Reassigned Medicare billing, New York enrollment

NPI 1255204046 (646) 470-5096

210 Mjd Medical, PLLC

7.8 mi

Multi-Specialty

228 BEACH 20TH ST
Far Rockaway, NY 11691

Reassigned Medicare billing, New York enrollment
11 clinicians in this Medicare group

NPI 1750712220 (917) 847-4980

Quality Medical Provider PC

8.6 mi

Family Medicine

267-01 HILLSIDE AVE
Floral Park, NY 11004

Reassigned Medicare billing, New York enrollment
7 clinicians in this Medicare group

NPI 1023186442 (718) 343-7790

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

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.

18 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11416 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

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

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 5

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

SAMANTHA M CASTRO LMHC

Community/Behavioral Health