KHADIJA KHAN
NPI 1235767633
Family Medicine in Glen Cove, NY

Q: What is Khadija Khan's NPI number?

The NPI number for Khadija Khan is 1235767633. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Q: What is Khadija 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 Khadija Khan was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 31, 2020PECOS EnrolledAccepts Medicare Assignment

101 SAINT ANDREWS LN, GLEN COVE, NY 11542(516) 674-7631(516) 674-7639 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 2, 2024, Mar 31, 2020 (2 updates tracked since 2020).

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About Khadija Khan NPPES

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

KHADIJA KHAN (NPI 1235767633) is an individual family medicine provider in Glen Cove, New York, licensed in New York (325619) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Huntington Hospital, and is a graduate of City University Of New York School Of Medicine (2020).

NPPES Registry Identity

NPI1235767633

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKHADIJA KHAN

Location Address101 SAINT ANDREWS LNGlen Cove, NY 11542-2254

Mailing Address101 Saint Andrews LnGlen Cove, NY 11542-2254 · (516) 674-7631 · Fax (516) 674-7639

Phone(516) 674-7631

Fax(516) 674-7639

Sole ProprietorNo

Medical School CMSCity University Of New York School Of MedicineGraduated 2020

Enumeration DateMarch 31, 2020

Last NPPES UpdateMay 2, 20242 updates tracked since enumeration

NPPES CertifiedMay 2, 2024

✔ NPI 1235767633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 325619

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.

101 SAINT ANDREWS LN, Glen Cove, NY 11542

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Khadija Khan 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 ID749726438

PECOS Enrollment IDI20240718000071

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

North Shore-Lij Medical PC

7.4 mi

Urology

1010 NORTHERN BLVD STE 110
Great Neck, NY 11021

Reassigned Medicare billing, New York enrollment
9,353 clinicians in this Medicare group

NPI 1053688572 (516) 321-7400

Good Samaritan Hospital Ox Therapy

21 mi

Pulmonary Disease

1000 MONTAUK HWY
West Islip, NY 11795

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Good Samaritan Hospital Medical Center
395 clinicians in this Medicare group

NPI 1346491800 (631) 376-3000

Samaritan Emergency Medical Services, PC

21 mi

Emergency Medicine

1000 MONTAUK HWY
West Islip, NY 11795

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

NPI 1104978014 (631) 376-3000

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

92 services89 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

72 services72 patients

Hospital Affiliations CMS Care Compare

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

Ns/Lij Hs Huntington Hospital

Acute Care Hospitals · Huntington, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330045

Location270 Park AvenueHuntington, NY 11743 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11542 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 20

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

BRUCE W MARTIN FNP

Nurse Practitioner (Family)

101 SAINT ANDREWS LN
GLEN COVE, NY 11542

Nassau County (516) 674-7461

SUBOOR AZIMI

Pharmacist

101 SAINT ANDREWS LN
GLEN COVE, NY 11542

Nassau County (516) 674-7300

DR. JOHN D'ANGELO MD

Emergency Medicine

101 SAINT ANDREWS LN
GLEN COVE, NY 11542

Nassau County (516) 674-7325

MAAYAN ESTELLE LIEBERMAN M.D.

Student in an Organized Health Care Education/Training Program

101 SAINT ANDREWS LN, NSLIJ-GLEN COVE HOSPITAL
GLEN COVE, NY 11542

Nassau County (516) 674-7631

ALI AY

Hospitalist

101 SAINT ANDREWS LN
GLEN COVE, NY 11542

Nassau County (718) 270-2353

DR. OLUMIDE ADEYEKUN MD

Student in an Organized Health Care Education/Training Program

101 SAINT ANDREWS LN
GLEN COVE, NY 11542

Nassau County (516) 674-7300

WAI C MAN D.O.

Internal Medicine

101 SAINT ANDREWS LN
GLEN COVE, NY 11542

Nassau County (516) 674-7300

GURBHUSHAN SINGH BASRA M.D.

Radiology (Diagnostic Radiology)

101 SAINT ANDREWS LN
GLEN COVE, NY 11542

Nassau County (516) 674-7540

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 Khadija Khan's NPI number?

The NPI number for Khadija Khan is 1235767633. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Khadija Khan located?

Khadija Khan practices at 101 Saint Andrews Ln, Glen Cove, NY 11542. The listed phone number is (516) 674-7631.

What is Khadija Khan's specialty?

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

Is Khadija Khan enrolled in Medicare?

Yes. Khadija 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.

Which organizations bill Medicare for Khadija Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khadija Khan reassigns Medicare benefits to 3 organizations: North Shore-Lij Medical PC (Great Neck, NY), Good Samaritan Hospital Ox Therapy (West Islip, NY) and Samaritan Emergency Medical Services, PC (West Islip, NY). 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 Khadija Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Khadija Khan affiliated with any hospitals?

According to CMS data, Khadija Khan is affiliated with Ns/Lij Hs Huntington Hospital.

When was this NPI record last updated?

The NPPES record for Khadija Khan was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.