FARZANA KHAN MD
NPI 1114622289
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 30, 2023PECOS Enrolled
3959 BROADWAY, NEW YORK, NY 10032(212) 305-8504 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Farzana Khan Md NPPES

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

FARZANA KHAN MD (NPI 1114622289) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114622289
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameFARZANA KHANCredential: MD
Location Address3959 BROADWAYNew York, NY 10032-1559
Mailing Address3959 BroadwayNew York, NY 10032-1559 · (212) 305-8504
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
✔ NPI 1114622289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3959 BROADWAY, New York, NY 10032

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Farzana Khan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537637343
PECOS Enrollment IDI20260508003301
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 Reassignment

Medicare enrollment records show Farzana Khan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group

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

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.

Pediatrics
3959 BROADWAY
NEW YORK, NY 10032
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032

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 Farzana Khan's NPI number?

The NPI number for Farzana Khan is 1114622289. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Farzana Khan located?

Farzana Khan practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 305-8504.

What is Farzana Khan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Farzana Khan enrolled in Medicare?

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

Which organization bills Medicare for Farzana Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Farzana Khan reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Farzana Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Farzana Khan was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.