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DR. DASTAGIR ALAM KHAN MD
NPI 1205818911
Internal Medicine in Latham, NY

Active since November 17, 2005PECOS Enrolled

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 17, 2022, Feb 27, 2017 (2 updates tracked since 2017).

About Dr. Dastagir Alam Khan Md NPPES

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

DR. DASTAGIR ALAM KHAN MD (NPI 1205818911) is an individual internal medicine provider in Latham, New York, licensed in New York (281049) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205818911
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DASTAGIR ALAM KHANCredential: MD
Location Address27 DYKE RDLatham, NY 12110-1237
Mailing Address27 Dyke RdLatham, NY 12110-1237 · (904) 955-7190
Phone(904) 955-7190
Sole ProprietorYes
Enumeration DateNovember 17, 2005
Last NPPES UpdateJanuary 17, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2022
✔ NPI 1205818911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 281049
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 281049 (NY)
27 DYKE RD, Latham, NY 12110
Open in Google Maps ↗

Other Identifiers 2

Medicaid04290768NY
Medicaid270290800FL

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. Dastagir Alam Khan Md 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.

Areas of Expertise CMS Part B claims 2

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
94 services53 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
21 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Dastagir Khan's NPI number?

The NPI number for Dastagir Khan is 1205818911. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Dastagir Khan located?

Dastagir Khan practices at 27 Dyke Rd, Latham, NY 12110. The listed phone number is (904) 955-7190.

What is Dastagir Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dastagir Khan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dastagir Khan was last updated on January 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.