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Deactivated NPI 1205452828 Deactivated / Inactive NPI Male Practitioner

Dr. Mohammad Ahmad Khan , MD

Emergency Medicine • Poughkeepsie, NY

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mohammad Khan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 19, 2020
NPI Deactivation Date January 17, 2022
Total Practice Duration ~3 Years of Practice (2019 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Mohammad Khan, MD was a registered Emergency Medicine practicing in Poughkeepsie, NY. Throughout an active medical career spanning 3 years, Dr. Khan provided care at the practice location at 2649 SOUTH ROAD until profile deactivation on 2022-01-17.

Dr. Khan was affiliated with Acs Primary Care Physicians Southwest Pa and accepted Medicare assignment.

Historical Medicare Part B clinical services included emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2649 South Road
Suite 104

Poughkeepsie, NY 12601

Telephone 8457901317
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Poughkeepsie, NY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -6.6 yrs vs City Avg
City Avg: 13.6 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
46 Specialists

Practicing in Poughkeepsie, NY (5148 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Khan (7 Years) 7 Yrs
Poughkeepsie Specialty Average (13.6 Years) 13.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
413 382 $1374.00 $167.57
99284 Emergency department visit with moderate level of medical decision making
88 83 $947.00 $115.61
99291 Critical care, first 30-74 minutes
78 78 $1688.00 $202.55

Medical Specialties & State Licenses

CMS Verified: 2024-08-27
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License TX U2532

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Hospital & Practice Group Affiliations

Acs Primary Care Physicians Southwest Pa

11937 Us Hwy 271, Tyler, TX 757083154

Phone: 9038777000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Dr. Cheng Ng , MD

Emergency Medicine

NPI 1013539253

Doctor of Medicine (M.D.)

Dr. Hashir Ali Awan , MD

Student in an Organized Health Care Education/Training Program

NPI 1013707637

Doctor of Medicine (M.D.)

Dr. Alexander Gormley , DO

Student in an Organized Health Care Education/Training Program

NPI 1033050497

Doctor of Osteopathic Medicine (D.O.)

Dr. Karimah Best , MD

Student in an Organized Health Care Education/Training Program

NPI 1063100840

Doctor of Medicine (M.D.)

Dr. Yves Louis , MD

Student in an Organized Health Care Education/Training Program

NPI 1073363842

Doctor of Medicine (M.D.)

Dr. Hamad Kaif , DO

Emergency Medicine

NPI 1093419459

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2023

Emergency Medicine (License #U2532 in TX)

🔄
NPI Profile Reactivated February 03, 2022

Record officially reactivated for active practice on February 03, 2022

⚠️
NPI Profile Deactivated January 17, 2022

Record deactivated on January 17, 2022

NPI Profile Active June 19, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2020

Registered at 2649 SOUTH ROAD, SUITE 104, POUGHKEEPSIE, NY 12601 (Tel: 8457901317)

📍
Updated Business Mailing Address June 19, 2020

Registered at 2649 SOUTH ROAD, SUITE 104, POUGHKEEPSIE, NY 12601 (Tel: 8457901317)

👤
Provider Name / Credentials Updated June 19, 2020

Recorded as MOHAMMAD KHAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 19, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205452828
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2020
Last Update: August 27, 2024
Deactivation Date: January 17, 2022
Sole Proprietor: Yes

Mailing Address

2649 South Road, Suite 104

Poughkeepsie, NY 12601

Phone: 8457901317

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.