1. Home
  2. Directory
  3. New Jersey
  4. Kingston
  5. Internal Medicine
  6. NPI Profile

DR. UMMI KALSOOM KHAN M.D.
NPI 1750812764
Internal Medicine in Kingston, NJ

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
4430 ROUTE 27, KINGSTON, NJ 08528(732) 732-4661(732) 732-4661 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2026, Aug 6, 2024, Oct 8, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Ummi Kalsoom Khan M.d. NPPES

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

DR. UMMI KALSOOM KHAN M.D. (NPI 1750812764) is an individual internal medicine provider in Kingston, New Jersey, licensed in New Jersey (25MA10850400) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1750812764
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. UMMI KALSOOM KHANCredential: M.D.
Location Address4430 ROUTE 27Kingston, NJ 08528-9613
Mailing Address1 Oriole CtMonmouth Junction, NJ 08852-2972 · (732) 732-4661 · Fax (732) 732-4661
Phone(732) 732-4661
Fax(732) 732-4661
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 22, 2017
Last NPPES UpdateApril 6, 20264 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1750812764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA10850400
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.
4430 ROUTE 27, Kingston, NJ 08528
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1750 Brunswick AveTrenton, NJ 08638-4143 · Phone (609) 394-6000
Location 21 Bay AveMontclair, NJ 07042-4837 · Phone (973) 429-6196
Location 31 Capital WayPennington, NJ 08534-2520 · Phone (609) 303-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. Ummi Kalsoom Khan M.d. 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 ID2668891771
PECOS Enrollment IDI20200923000818
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

5

Medicare enrollment records show Ummi Khan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

A & m Health Services LLC
Same address
Primary Care
4430 ROUTE 27
Kingston, NJ 08528
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1932939709 (732) 732-4661
Capital Health Multispecialty Group
12 mi
Surgery
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 600 clinicians in this Medicare group
NPI 1083072342 (609) 394-6000
First Docs LLC
12 mi
Internal Medicine
1235 WHITEHORSE MERCERVILLE RD STE 306
Hamilton, NJ 08619
  • Reassigned Medicare billing, New Jersey enrollment
  • 39 clinicians in this Medicare group
NPI 1154936227 (609) 585-1122
Rwjbh Emergency Medicine Associates, LLC
13 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618
Plover Inpatient Services LLC
37 mi
Emergency Medicine
1 BAY AVE
Montclair, NJ 07042
  • Reassigned Medicare billing, New Jersey enrollment
  • 252 clinicians in this Medicare group
NPI 1134534688 (954) 939-5000

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 3

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
158 services134 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
157 services155 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
60 services56 patients

Hospital Affiliations CMS Care Compare 3

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Capital Health Regional Medical Center

Acute Care Hospitals · Trenton, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310092
Location750 Brunswick AveTrenton, NJ 08638 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08528 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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

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

A&M HEALTH SERVICES LLC
Clinic/Center (Primary Care)
4430 ROUTE 27
KINGSTON, NJ 08528
Somerset County (732) 732-4661

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 Ummi Khan's NPI number?

The NPI number for Ummi Khan is 1750812764. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Ummi Khan located?

Ummi Khan practices at 4430 Route 27, Kingston, NJ 08528. The listed phone number is (732) 732-4661.

What is Ummi Khan's specialty?

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

Is Ummi Khan enrolled in Medicare?

Yes. Ummi 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 Ummi Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ummi Khan reassigns Medicare benefits to 5 organizations: A & m Health Services LLC (Kingston, NJ), Capital Health Multispecialty Group (Trenton, NJ), First Docs LLC (Hamilton, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ) and Plover Inpatient Services LLC (Montclair, NJ). 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 Ummi Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ummi Khan accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ummi Khan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ummi Khan affiliated with any hospitals?

According to CMS data, Ummi Khan is affiliated with Capital Health Medical Center - Hopewell, Robert Wood Johnson University Hospital - Somerset and Capital Health Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ummi Khan was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.