MUSTAFA ALI KHAN DO
NPI 1477134849
Emergency Medicine in Johnson City, NY

Active since April 18, 2021PECOS EnrolledAccepts Medicare Assignment
33-57 HARRISON ST, JOHNSON CITY, NY 13790(607) 763-6412 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 30, 2024, Apr 18, 2021 (2 updates tracked since 2021).

About Mustafa Ali Khan Do NPPES

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

MUSTAFA ALI KHAN DO (NPI 1477134849) is an individual emergency medicine provider in Johnson City, New York, licensed in New York (333172) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with United Health Services Hospitals, Inc, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1477134849
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMUSTAFA ALI KHANCredential: DO
Location Address33-57 HARRISON STJohnson City, NY 13790-2107
Mailing Address33 Lewis Rd, Fl 2Binghamton, NY 13905 · (607) 770-0025
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 18, 2021
Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1477134849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 333172
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
33-57 HARRISON ST, Johnson City, NY 13790

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

Mustafa Ali Khan Do 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 ID4587053632
PECOS Enrollment IDI20241028001455
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 Mustafa Khan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
33 LEWIS ROAD, 2ND FLOOR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 528 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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
38 services37 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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.

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.

Hospitalist
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Occupational Therapist
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Physician Assistant
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Hospitalist
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Radiology (Diagnostic Radiology)
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Pathology (Anatomic Pathology & Clinical Pathology)
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Emergency Medicine
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Pharmacist
33-57 HARRISON ST
JOHNSON CITY, NY 13790

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 Mustafa Khan's NPI number?

The NPI number for Mustafa Khan is 1477134849. It was assigned to this individual provider in the NPPES registry on April 18, 2021.

Where is Mustafa Khan located?

Mustafa Khan practices at 33-57 Harrison St, Johnson City, NY 13790. The listed phone number is (607) 763-6412.

What is Mustafa Khan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mustafa Khan enrolled in Medicare?

Yes. Mustafa 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 organization bills Medicare for Mustafa Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mustafa Khan reassigns Medicare benefits to United Medical Associates PC (Binghamton, NY). 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 Mustafa Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mustafa Khan affiliated with any hospitals?

According to CMS data, Mustafa Khan is affiliated with United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Mustafa Khan was last updated on September 30, 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.