Dr Ummi Kalsoom Khan, MD - Medicare Internal Medicine in Montclair, NJ

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Dr Ummi Kalsoom Khan, MD is a medicare enrolled "Internal Medicine" physician in Montclair, New Jersey. She graduated from medical school in 2015 and has 9 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 1 Bay Ave, Montclair, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 429-6196.

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.

Contact Information

Dr Ummi Kalsoom Khan, MD
1 Bay Ave,
Montclair, NJ 07042-4837
(973) 429-6196
Not Available

Map and Direction




Physician's Profile

Full NameDr Ummi Kalsoom Khan
GenderFemale
SpecialityInternal Medicine
Experience9 Years
Location1 Bay Ave, Montclair, New Jersey
Accepts Medicare AssignmentsYes. 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: 08/02/2023
  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.
IdentifierTypeStateIssuer
1750812764NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA10850400 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Capital Health Medical Center - HopewellPennington, NJHospital
Capital Health Regional Medical CenterTrenton, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Capital Health Multispecialty Group1850689894233

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 NameGeps Physician Group Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871512038
PECOS PAC ID: 4981590346
Enrollment ID: O20040409000423
Entity NamePlover Inpatient Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134534688
PECOS PAC ID: 1355561663
Enrollment ID: O20141009001113
Entity NameCapital Health Multispecialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083072342
PECOS PAC ID: 1850689894
Enrollment ID: O20161007000162
Entity NameGps Physician Group Of New Jersey, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548776008
PECOS PAC ID: 4688933674
Enrollment ID: O20180119002091
Entity NameFirst Docs Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154936227
PECOS PAC ID: 1254751456
Enrollment ID: O20210505003195

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 AddressPractice Location Address
Dr Ummi Kalsoom Khan, MD
1 Bay Ave,
Montclair, NJ 07042-4837

Ph: (973) 429-6196		Dr Ummi Kalsoom Khan, MD
1 Bay Ave,
Montclair, NJ 07042-4837

Ph: (973) 429-6196

Reviews and Comments


Internal Medicine Doctors in Montclair, NJ

Dr. Alvin Bell, M.D.,F.A.C.P.,F.A.S.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 129 Grove St, Montclair, NJ 07042
Phone: 973-783-6110    Fax: 973-744-7385
Dr. Ankita Patel, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Bay Ave, Montclair, NJ 07042
Phone: 973-429-6196    
Kenneth Miller, MD FACC FSCAI
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 62 S Fullerton Ave, Montclair, NJ 07042
Phone: 973-746-8585    Fax: 973-746-0088
Nonkulie Zweli Dladla, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 120 Stonebridge Rd, Montclair, NJ 07042
Phone: 347-277-8324    
Joseph Barbagallo, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 65 Union St, Suite 24, Montclair, NJ 07042
Phone: 917-225-4785    
Dr. Charles S Goldberg, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 127 Pine Street, Montclair, NJ 07042
Phone: 973-233-9559    Fax: 973-233-9660
Michael Jay Yellin, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 138 Buckingham Rd, Montclair, NJ 07043
Phone: 973-744-7093    Fax: 203-764-2416

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.