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MR. MOHAMMAD AHMAD KHAN M.D.
NPI 1205452828
Student in an Organized Health Care Education/Training Program in Poughkeepsie, NY

Active since June 19, 2020PECOS EnrolledAccepts Medicare Assignment
2649 SOUTH ROAD, SUITE 104, POUGHKEEPSIE, NY 12601(845) 790-1317 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 4, 2023, Feb 3, 2022, Jun 19, 2020 (3 updates tracked since 2020).

About Mr. Mohammad Ahmad Khan M.d. NPPES

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

MR. MOHAMMAD AHMAD KHAN M.D. (NPI 1205452828) is an individual student in an organized health care education/training program in Poughkeepsie, New York and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205452828
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. MOHAMMAD AHMAD KHANCredential: M.D.
Location Address2649 SOUTH ROAD, SUITE 104Poughkeepsie, NY 12601
Mailing Address2649 South Road, Suite 104Poughkeepsie, NY 12601 · (845) 790-1317
Phone(845) 790-1317
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 19, 2020
Last NPPES UpdateMay 4, 20233 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
✔ NPI 1205452828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License U2532 (TX)
2649 SOUTH ROAD, Poughkeepsie, NY 12601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Mr. Mohammad Ahmad Khan M.d. 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 ID840656799
PECOS Enrollment IDI20230518001266
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 3

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.
413 services382 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.
88 services83 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
78 services78 patients

Hospital Affiliations CMS Care Compare

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

HEALTH QUEST HOME CARE, INC. (CERTIFIED)
Home Health
2649 SOUTH ROAD, SUITE 220
POUGHKEEPSIE, NY 12601
Dutchess County (845) 471-4243

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 Mohammad Khan's NPI number?

The NPI number for Mohammad Khan is 1205452828. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Where is Mohammad Khan located?

Mohammad Khan practices at 2649 South Road Suite 104, Poughkeepsie, NY 12601. The listed phone number is (845) 790-1317.

What is Mohammad 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 Mohammad Khan enrolled in Medicare?

Yes. Mohammad 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.

What insurance does Mohammad Khan accept?

Health plans from Blue Cross and Blue Shield of Texas list Mohammad 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.

Is Mohammad Khan affiliated with any hospitals?

According to CMS data, Mohammad Khan is affiliated with Ut Health East Texas Tyler Regional Hospital.

When was this NPI record last updated?

The NPPES record for Mohammad Khan was last updated on May 4, 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.