ISHTIAQUE A KHAN
NPI 1518675933
Internal Medicine in Fresh Meadows, NY

Active since November 15, 2022PECOS Enrolled
6136 170TH ST APT M4, FRESH MEADOWS, NY 11365(718) 709-0940(516) 441-6768 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ishtiaque A Khan NPPES

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

ISHTIAQUE A KHAN (NPI 1518675933) is an individual internal medicine provider in Fresh Meadows, New York, licensed in New York (P117921) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518675933
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameISHTIAQUE A KHAN
Location Address6136 170TH ST APT M4Fresh Meadows, NY 11365-1957
Mailing Address6136 170th St Apt M4Fresh Meadows, NY 11365-1957 · (516) 794-7200 · Fax (516) 441-6768
Fax(516) 441-6768
Sole ProprietorNo
Enumeration DateNovember 15, 2022
NPPES CertifiedNovember 14, 2022
NPI 1518675933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · P117921
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6136 170TH ST APT M4, Fresh Meadows, NY 11365

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
39 services14 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
23 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11365 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 18

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

Internal Medicine
6136 170TH ST APT M4
FRESH MEADOWS, NY 11365
General Practice
6136 170TH ST APT M4
FRESH MEADOWS, NY 11365
Student in an Organized Health Care Education/Training Program
6136 170TH ST APT M4
FRESH MEADOWS, NY 11365
Clinic/Center (Primary Care)
6136 170TH ST APT M4
FRESH MEADOWS, NY 11365
Nurse Practitioner
6136 170TH ST APT M4
FRESH MEADOWS, NY 11365
Skilled Nursing Facility
6136 170TH ST APT M4
FRESH MEADOWS, NY 11365
Internal Medicine
6136 170TH ST APT M4
FRESH MEADOWS, NY 11365
Obstetrics & Gynecology
6136 170TH ST APT M4
FRESH MEADOWS, NY 11365

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 Ishtiaque Khan's NPI number?

The NPI number for Ishtiaque Khan is 1518675933. It was assigned to this individual provider in the NPPES registry on November 15, 2022.

Where is Ishtiaque Khan located?

Ishtiaque Khan practices at 6136 170th St Apt M4, Fresh Meadows, NY 11365. The listed phone number is (718) 709-0940.

What is Ishtiaque Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ishtiaque Khan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ishtiaque Khan was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.