MST KHALEDA KHATUN MD
NPI 1417585696
Internal Medicine in Bronx, NY
About Mst Khaleda Khatun Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MST KHALEDA KHATUN MD (NPI 1417585696) is an individual internal medicine provider in Bronx, New York, licensed in New York (P101966) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mst Khaleda Khatun Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Mst Khaleda Khatun reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Bronx Medical Practice PC
- 1,013 clinicians in this Medicare group
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- 1,054 clinicians in this Medicare group
Bronx, NY 10453
- Reassigned Medicare billing, New York enrollment
- 1,393 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10475 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10475
BRONX, NY 10475
BRONX, NY 10475
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 Mst Khaleda Khatun's NPI number?
The NPI number for Mst Khaleda Khatun is 1417585696. It was assigned to this individual provider in the NPPES registry on April 1, 2020.
Where is Mst Khaleda Khatun located?
Mst Khaleda Khatun practices at 801 Co Op City Blvd, Bronx, NY 10475. The listed phone number is (718) 239-6699.
What is Mst Khaleda Khatun's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mst Khaleda Khatun enrolled in Medicare?
Yes. Mst Khaleda Khatun is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mst Khaleda Khatun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mst Khaleda Khatun reassigns Medicare benefits to 3 organizations: Bronx Medical Practice P.C. (Bronx, NY), House Call Medical Services Of New York, PLLC (Bronx, NY) and Essen Medical Associates, PC (Bronx, 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 Mst Khaleda Khatun'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 Mst Khaleda Khatun was last updated on April 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mst Khaleda Khatun, MD · NPI 1417585696
Internal Medicine physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since April 1, 2020.
## Identity
- **NPI:** 1417585696 (Entity type: Individual)
- **Enumerated:** April 1, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** P101966 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 CO OP CITY BLVD, Bronx, NY 10475-1603
- **Phone:** (718) 239-6699
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Bronx Medical Practice P.C. (NPI 1356726087, Bronx, NY); House Call Medical Services Of New York, PLLC (NPI 1851345946, Bronx, NY); Essen Medical Associates, PC (NPI 1366418709, Bronx, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** April 1, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1417585696) · Data from the CMS NPPES public registry.