MASRUR A. KHAN MD
NPI 1629638721
Pediatrics - Pediatric Emergency Medicine in Elmhurst, NY

Active since June 20, 2019PECOS Enrolled
7901 BROADWAY, ELMHURST, NY 11373(718) 334-3054 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2026, Apr 3, 2024, Jun 20, 2019 (3 updates tracked since 2019).

About Masrur A. Khan Md NPPES

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

MASRUR A. KHAN MD (NPI 1629638721) is an individual pediatric emergency medicine provider in Elmhurst, New York, licensed in New York (316857) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1629638721
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameMASRUR A. KHANCredential: MD
Location Address7901 BROADWAYElmhurst, NY 11373-1329
Mailing Address4650 W Sunset BlvdLos Angeles, CA 90027-6062
Sole ProprietorNo
Enumeration DateJune 20, 2019
Last NPPES UpdateJune 5, 20263 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1629638721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in NY · 316857
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 316857 (NY)
7901 BROADWAY, Elmhurst, NY 11373

Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-4321

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Masrur A. Khan Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Masrur Khan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
7901 BROADWAY
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 836 clinicians in this Medicare group
Cardiovascular Disease
520 E 70TH ST, STARR 409
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 226 clinicians in this Medicare group
Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 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.

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.

Physician Assistant
7901 BROADWAY
ELMHURST, NY 11373
Internal Medicine (Pulmonary Disease)
7901 BROADWAY
ELMHURST, NY 11373
Pediatrics
7901 BROADWAY
ELMHURST, NY 11373
Social Worker (Clinical)
7901 BROADWAY
ELMHURST, NY 11373
Social Worker
7901 BROADWAY
ELMHURST, NY 11373
Student in an Organized Health Care Education/Training Program
7901 BROADWAY
ELMHURST, NY 11373
Social Worker
7901 BROADWAY
ELMHURST, NY 11373
Physician Assistant (Surgical)
7901 BROADWAY
ELMHURST, NY 11373

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 Masrur Khan's NPI number?

The NPI number for Masrur Khan is 1629638721. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Masrur Khan located?

Masrur Khan practices at 7901 Broadway, Elmhurst, NY 11373. The listed phone number is (718) 334-3054.

What is Masrur Khan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Masrur Khan enrolled in Medicare?

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

Which organizations bill Medicare for Masrur Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Masrur Khan reassigns Medicare benefits to 3 organizations: Icahn School Of Medicine At Mount Sinai (Elmhurst, NY), Weill Medical College Of Cornell (New York, NY) and Maimonides Faculty Practice Plan (Brooklyn, 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 Masrur Khan'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 Masrur Khan was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.