Dr Ummi Kalsoom Khan, MD is a medicare enrolled "Internal Medicine" physician in Kingston, New Jersey. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Capital Health Multispecialty Group and her current practice location is
4430 Route 27, Kingston, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 732-4661.
Dr Ummi Kalsoom Khan is licensed to practice in New Jersey (license number 25MA10850400) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750812764.
Physician's Profile
| Full Name | Dr Ummi Kalsoom Khan |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 11 Years |
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| Location | 4430 Route 27, Kingston, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Ummi Kalsoom Khan graduated from medical school in 2015
NPI Data:
- NPI Number: 1750812764
- Provider Enumeration Date: 03/22/2017
- Last Update Date: 04/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 2668891771
- Enrollment ID: I20200923000818
Medical Identifiers
Medical identifiers for Dr Ummi Kalsoom Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750812764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 25MA10850400 (New Jersey) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ummi Kalsoom Khan allows following entities to bill medicare on her behalf.
| Entity Name | Plover Inpatient Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134534688 PECOS PAC ID: 1355561663 Enrollment ID: O20141009001113 |
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| Entity Name | Capital Health Multispecialty Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083072342 PECOS PAC ID: 1850689894 Enrollment ID: O20161007000162 |
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| Entity Name | First Docs Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154936227 PECOS PAC ID: 1254751456 Enrollment ID: O20210505003195 |
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| Entity Name | A&m Health Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932939709 PECOS PAC ID: 5890226815 Enrollment ID: O20241002000173 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ummi Kalsoom Khan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Ummi Kalsoom Khan, MD 1 Oriole Ct, Monmouth Junction, NJ 08852-2972 Ph: (732) 732-4661 | Dr Ummi Kalsoom Khan, MD 4430 Route 27, Kingston, NJ 08528-9613 Ph: (732) 732-4661 |
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