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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: October 25, 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
Phone(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

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
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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)

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.

Medicare Billing Reassignment

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

Cardiovascular Associates Of The Delaware Valley,p A
83 mi
Cardiovascular Disease
210 W ATLANTIC AVE
Haddon Heights, NJ 08035
  • Reassigned Medicare billing, New Jersey enrollment
  • 91 clinicians in this Medicare group
NPI 1366495632 (856) 547-0539

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.

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.

MEGHA VERMA DO
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
New York County (212) 259-6777
OLGA MARUSHCHAK DO
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
New York County (212) 259-6777
DR. JOSEPH ABRAHAMS MENAND MD
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
New York County (212) 259-6777
ARUSHI AGARWAL MD
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
New York County (212) 259-6777
JESSICA LIM
Hospitalist
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
New York County (212) 259-6777
ESTEFANIA GONZALES
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
New York County (212) 259-6777
NAUSHEEN NADIR MERCHANT
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
New York County (212) 259-6777
ASHA PARVATHANENI
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
New York County (212) 259-6777

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.

Which organization bills Medicare for Mohammad Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Khan reassigns Medicare benefits to Cardiovascular Associates Of The Delaware Valley,p A (Haddon Heights, NJ). 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 Mohammad Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.