EJAZ KHAN
NPI 1548701873
Student in an Organized Health Care Education/Training Program in Hershey, PA
About Ejaz Khan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EJAZ KHAN (NPI 1548701873) is an individual student in an organized health care education/training program in Hershey, Pennsylvania, licensed in Pennsylvania (HS000157L) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Metropolitan Hospital Center, and is a graduate of Other (2004).
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 and accepts Medicare assignment
Ejaz Khan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Ejaz Khan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 623 clinicians in this Medicare group
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 2,094 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Metropolitan Hospital Center
Acute Care Hospitals · New York, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HERSHEY, PA 17033
HERSHEY, PA 17033
HERSHEY, PA 17033
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 Ejaz Khan's NPI number?
The NPI number for Ejaz Khan is 1548701873. It was assigned to this individual provider in the NPPES registry on March 20, 2017.
Where is Ejaz Khan located?
Ejaz Khan practices at 500 University Drive Penn State Health Milton S. Hershey Medical Center, Hershey, PA 17033. The listed phone number is (800) 243-1455.
What is Ejaz Khan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ejaz Khan enrolled in Medicare?
Yes. Ejaz 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 Ejaz Khan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ejaz Khan reassigns Medicare benefits to 2 organizations: Metropolitan Medical Practice Plan PC (New York, NY) and Physician Affiliate Group Of New York PC (New York, 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 Ejaz Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ejaz Khan affiliated with any hospitals?
According to CMS data, Ejaz Khan is affiliated with Metropolitan Hospital Center.
When was this NPI record last updated?
The NPPES record for Ejaz Khan was last updated on March 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ejaz Khan · NPI 1548701873
Student in an Organized Health Care Education/Training Program provider in Hershey, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 20, 2017.
## Identity
- **NPI:** 1548701873 (Entity type: Individual)
- **Enumerated:** March 20, 2017
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** HS000157L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 UNIVERSITY DRIVE, PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, Hershey, PA 17033
- **Phone:** (800) 243-1455
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Metropolitan Medical Practice Plan PC (NPI 1306138383, New York, NY); Physician Affiliate Group Of New York PC (NPI 1013375526, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** March 20, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1548701873) · Data from the CMS NPPES public registry.