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KHADIJA KHAN
NPI 1235767633
Family Medicine in Glen Cove, NY

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: August 16, 2026.

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

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.