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DR. MAHMOOD A KHAN M.D., M.B.B.S,
NPI 1265480073
Family Medicine in Amsterdam, NY

Active since May 04, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D1030364 · Waiver
5032 STATE HIGHWAY 30, MEDICAL PLAZA, AMSTERDAM, NY 12010(518) 842-0200(518) 842-3003 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mahmood A Khan M.d., M.b.b.s, NPPES

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

DR. MAHMOOD A KHAN M.D., M.B.B.S, (NPI 1265480073) is an individual family medicine provider in Amsterdam, New York, licensed in New York (225526) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 5, 2028, and is affiliated with St Mary's Healthcare.

NPPES Registry Identity

NPI1265480073
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MAHMOOD A KHANCredential: M.D., M.B.B.S,
Location Address5032 STATE HIGHWAY 30, MEDICAL PLAZAAmsterdam, NY 12010-7534
Mailing Address5032 State Highway 30, Medical PlazaAmsterdam, NY 12010-7534 · (518) 842-0200 · Fax (518) 842-3003
Phone(518) 842-0200
Fax(518) 842-3003
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 4, 2006
Last NPPES UpdateNovember 18, 2009
✔ NPI 1265480073 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 · 225526
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.
5032 STATE HIGHWAY 30, Amsterdam, NY 12010
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Other Identifiers 3

Medicaid02491005NY
Medicare UPINH71794NY
Medicare PINDD5867NY

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

Dr. Mahmood A Khan M.d., M.b.b.s, 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 ID6901873629
PECOS Enrollment IDI20040913001037
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

2

Medicare enrollment records show Mahmood Khan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mahmood A Khan Primary Care PC
Same address
Adult Medicine
5032 STATE HIGHWAY 30, MEDICAL PLAZA
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment
NPI 1831409614 (518) 842-0200
Kingsway Arms Nursing Center, Inc.
19 mi
Skilled Nursing Facility
323 KINGS ROAD
Schenectady, NY 12304
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
NPI 1528061850 (518) 393-4117

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1030364

Mahmood A Khan Primary Care PC · Amsterdam, NY
Active · expires Feb 5, 2028
CLIA Number33D1030364
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorDr. Mahmood A. Khan
Laboratory Phone(518) 842-0200
Laboratory LocationMahmood A Khan Primary Care PC5032 State Highway 30, Amsterdam, NY 12010
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
138 services56 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services40 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
61 services25 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
39 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients

Hospital Affiliations CMS Care Compare 3

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

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330047
Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County
Emergency services Birthing friendly

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12010 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims47 services$6.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$103.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MAHMOOD A KHAN PRIMARY CARE PC
Family Medicine (Adult Medicine)
5032 STATE HIGHWAY 30, MEDICAL PLAZA
AMSTERDAM, NY 12010
Montgomery County (518) 842-0200
MAHMOOD A. KHAN, M.D., P.C.
Internal Medicine
5032 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 842-0200

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 Mahmood Khan's NPI number?

The NPI number for Mahmood Khan is 1265480073. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Mahmood Khan located?

Mahmood Khan practices at 5032 State Highway 30 Medical Plaza, Amsterdam, NY 12010. The listed phone number is (518) 842-0200.

What is Mahmood Khan's specialty?

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

Is Mahmood Khan enrolled in Medicare?

Yes. Mahmood 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 Mahmood Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mahmood Khan reassigns Medicare benefits to 2 organizations: Mahmood A Khan Primary Care PC (Amsterdam, NY) and Kingsway Arms Nursing Center, Inc. (Schenectady, 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 Mahmood Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Mahmood Khan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1030364) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Mahmood Khan affiliated with any hospitals?

According to CMS data, Mahmood Khan is affiliated with St Mary's Healthcare, St Peter's Hospital and Ellis Hospital.

When was this NPI record last updated?

The NPPES record for Mahmood Khan was last updated on November 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.