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STEPHANIE M KHAN
NPI 1366961526
Nurse Practitioner - Primary Care in Forest Hills, NY

Active since September 19, 2017PECOS Enrolled
84.47/100
CMS Quality Rating
11078 QUEENS BLVD, FOREST HILLS, NY 11375(718) 309-2827 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 30, 2022, May 22, 2019, Sep 19, 2017 (3 updates tracked since 2017).

About Stephanie M Khan NPPES

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

STEPHANIE M KHAN (NPI 1366961526) is an individual primary care provider in Forest Hills, New York, licensed in New York (341863) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1366961526
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSTEPHANIE M KHAN
Location Address11078 QUEENS BLVDForest Hills, NY 11375-6345
Mailing Address9532 75th StOzone Park, NY 11416-1006
Phone(718) 309-2827
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 19, 2017
Last NPPES UpdateJanuary 24, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
✔ NPI 1366961526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NY · 341863
Also ListedRegistered Nurse · Obstetric, InpatientTaxonomy 163WX0003X · License 660206 (NY)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 341863 (NY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F341863 (NY)
11078 QUEENS BLVD, Forest Hills, NY 11375
Open in Google Maps ↗

Secondary Practice Location 1

Location 1560 1st AveNew York, NY 10016-6402 · Phone (212) 263-7000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie M Khan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921423336
PECOS Enrollment IDI20200803000385
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 Reassignment

Medicare enrollment records show Stephanie Khan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,040 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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.

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.
128 services31 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.
119 services32 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11375 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES

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

STEPHANIE KHAN NP IN FAMILY HEALTH PLLC
Nurse Practitioner (Primary Care)
11078 QUEENS BLVD
FOREST HILLS, NY 11375
Queens County (718) 309-2827

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 Stephanie Khan's NPI number?

The NPI number for Stephanie Khan is 1366961526. It was assigned to this individual provider in the NPPES registry on September 19, 2017.

Where is Stephanie Khan located?

Stephanie Khan practices at 11078 Queens Blvd, Forest Hills, NY 11375. The listed phone number is (718) 309-2827.

What is Stephanie Khan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Stephanie Khan enrolled in Medicare?

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

Which organization bills Medicare for Stephanie Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Khan reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Stephanie Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Stephanie Khan affiliated with any hospitals?

According to CMS data, Stephanie Khan is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Stephanie Khan was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.