DR. MOHAMMAD ISHRAK KHAN DO
NPI 1790426997
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 05, 2022PECOS Enrolled
1000 10TH AVE STE 3A-08, NEW YORK, NY 10019(212) 259-6777 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Mohammad Ishrak Khan Do NPPES

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

DR. MOHAMMAD ISHRAK KHAN DO (NPI 1790426997) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Deborah Heart And Lung Center, and is a graduate of Nova Southeastern College Of Osteo Medicine (2022).

NPPES Registry Identity

NPI1790426997
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MOHAMMAD ISHRAK KHANCredential: DO
Location Address1000 10TH AVE STE 3A-08New York, NY 10019-1147
Mailing Address1000 10th Ave Ste 3a-08New York, NY 10019-1147 · (212) 259-6777
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2022
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
NPI 1790426997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 10TH AVE STE 3A-08, New York, NY 10019

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mohammad Ishrak Khan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426549296
PECOS Enrollment IDI20260313001177
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.

Hospital Affiliations CMS Care Compare

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

Deborah Heart And Lung Center

Acute Care Hospitals · Browns Mills, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310031
Location200 Trenton RoadBrowns Mills, NJ 08015 · Burlington County

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.

Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
Hospitalist
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019

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 Mohammad Khan's NPI number?

The NPI number for Mohammad Khan is 1790426997. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Mohammad Khan located?

Mohammad Khan practices at 1000 10th Ave Ste 3a-08, New York, NY 10019. The listed phone number is (212) 259-6777.

What is Mohammad 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 Mohammad Khan enrolled in Medicare?

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

Is Mohammad Khan affiliated with any hospitals?

According to CMS data, Mohammad Khan is affiliated with Deborah Heart And Lung Center.

When was this NPI record last updated?

The NPPES record for Mohammad Khan was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.