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DILRUBA KHANAM D.O.
NPI 1730530403
Pediatrics - Pediatric Emergency Medicine in Allentown, PA

Active since June 23, 2016PECOS Enrolled
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103(610) 402-9750 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2023, Sep 29, 2022, Aug 19, 2022 and 2 more (5 updates tracked since 2016).

About Dilruba Khanam D.o. NPPES

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

DILRUBA KHANAM D.O. (NPI 1730530403) is an individual pediatric emergency medicine provider in Allentown, Pennsylvania, licensed in New York (324439) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730530403
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDILRUBA KHANAMCredential: D.O.
Location Address1200 S CEDAR CREST BLVDAllentown, PA 18103-6202
Mailing Address100 Nicolls RdStony Brook, NY 11794-0001
Phone(610) 402-9750
Sole ProprietorNo
Enumeration DateJune 23, 2016
Last NPPES UpdateSeptember 5, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1730530403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in NY · 324439✔ Licensed in PA · OS022179
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedEmergency MedicineTaxonomy 207P00000X · License OS022179 (PA)
1200 S CEDAR CREST BLVD, Allentown, PA 18103
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dilruba Khanam D.o. 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 Reassignment

Medicare enrollment records show Dilruba Khanam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Children's Service, University Faculty Practice Corporatio
128 mi
Pediatrics
SUNY @ STONY BROOK, HSC, L11, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1083660575 (631) 444-1362

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.

MUHAMMAD MAJEED MD
Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-5369
AARSHITHA SRINIVAS KATTA DO
Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-5369
CARLY A. SHAFFER DO
Internal Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (484) 862-3156
NORMA D. WILSON CRNA
Nurse Anesthetist, Certified Registered
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-9099
ASHLEY VOJTEK DO
Student in an Organized Health Care Education/Training Program
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (484) 862-3200
DR. DOUGLAS MCHALE DO
Pediatrics
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-7712
LEHIGH VALLEY SPECIALTY PHYSICIAN GROUP
Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-5369
ANNE ALICIA TOKOS MD
Emergency Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-8000

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 Dilruba Khanam's NPI number?

The NPI number for Dilruba Khanam is 1730530403. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Dilruba Khanam located?

Dilruba Khanam practices at 1200 S Cedar Crest Blvd, Allentown, PA 18103. The listed phone number is (610) 402-9750.

What is Dilruba Khanam's specialty?

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

Is Dilruba Khanam enrolled in Medicare?

Yes. Dilruba Khanam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dilruba Khanam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dilruba Khanam reassigns Medicare benefits to Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, 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 Dilruba Khanam'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 Dilruba Khanam was last updated on September 5, 2023. 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.