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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: November 08, 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
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Other Identifiers 2

Medicaid04290768NY
Medicaid270290800FL

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Dastagir Khan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mikram Jafri MD PC
6.6 mi
Internal Medicine
100 NEW TURNPIKE RD
Troy, NY 12182
  • Reassigned Medicare billing, New York enrollment
  • 19 clinicians in this Medicare group
NPI 1831800747 (518) 235-1410
Port City Emergency Physicians LLP
89 mi
Emergency Medicine
150 BROAD ST
Hamilton, NY 13346
  • Reassigned Medicare billing, New York enrollment
  • 129 clinicians in this Medicare group
NPI 1316395460 (315) 824-1100
New York General Medical Services PC
136 mi
Hospitalist
1060 AMSTERDAM AVE
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 179 clinicians in this Medicare group
NPI 1700315538 (865) 693-1000
Cogent Medical Care PC
144 mi
Internal Medicine
101 HOSPITAL RD
East Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 640 clinicians in this Medicare group
NPI 1912941238 (631) 687-4131
Nv Pacs 2 LLC
2,244 mi
Hospitalist
10550 PARK RUN DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, New York enrollment
  • 178 clinicians in this Medicare group
NPI 1427534809 (865) 693-1000

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 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.

Which organizations bill Medicare for Dastagir Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dastagir Khan reassigns Medicare benefits to 5 organizations: Mikram Jafri MD PC (Troy, NY), Port City Emergency Physicians LLP (Hamilton, NY), New York General Medical Services PC (New York, NY), Cogent Medical Care PC (East Patchogue, NY) and Nv Pacs 2 LLC (Las Vegas, NV). Each 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 Dastagir 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 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.