Individual provider Active NPI

Tayyaba Shahid Khan, FNP-BC

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1013733245
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP1062121 Issued in DC
Practice address
5215 Loughboro Rd NW Ste 300
Washington, DC 20016-2626
Phone
(202) 660-5182
NPI assigned
Dec 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC008533 MD
Family Nurse Practitioner 363LF0000X NP1062121 DC Primary
Family Nurse Practitioner 363LF0000X 0024191912 VA

Addresses

Primary practice location

5215 Loughboro Rd NW Ste 300
Washington, DC 20016-2626

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-2578

Other practice location 2

41618 Fenway Circle
Ashburn, VA 20148
Phone (571) 550-5144

Other practice location 3

5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 537-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250206001165 DC Practitioner - Nurse Practitioner 7315477353 Reassigns benefits to 3 organizations
I20250305002677 VA Practitioner - Nurse Practitioner 7315477353 Reassigns benefits to 2 organizations
I20260127001174 MD Practitioner - Nurse Practitioner 7315477353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johns Hopkins Community Physicians, IncGroup PAC ID 8325943707, 764 clinicians
Virginia Internal Medicine IncGroup PAC ID 4082869250, 101 clinicians

Practice addresses (Care Compare)

14207 Park Ctr Dr
Suite 102
Laurel, MD 20707-5255
Phone (301) 604-5254

3710 Lee Hwy
Arlington, VA 22207-3721
Phone (703) 243-7640

41816 Fenway Cir
Ashburn, VA 20148-8069
Phone (347) 761-7200

5215 Loughboro Rd NW
Washington, DC 20016-2618
Phone (202) 243-4480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP1062121DCMDFamily Nurse Practitioner
AC008533MDMDFamily Nurse Practitioner
0024191912VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Internal Medicine Inc CurrentSince Dec 9, 2024 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Jan 8, 2026 Accepting new patients
Pai Participant 1 LLC CurrentSince Sep 27, 2025 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Jan 8, 2026 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Jan 8, 2026 Accepting new patients

Locations

5215 Loughboro Rd NW
Ste 300
Washington, DC 20016
Phone (202) 243-2280

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1013733245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 LOUGHBORO RD NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162626",
            "telephone_number": "202-660-5182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 Old Georgetown Rd",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208141422",
            "country_code": "US",
            "telephone_number": "301-896-2578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41618 Fenway Circle",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "20148",
            "country_code": "US",
            "telephone_number": "571-550-5144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5255 Loughboro Rd NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200162633",
            "country_code": "US",
            "telephone_number": "202-537-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "TAYYABA",
        "middle_name": "SHAHID",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC008533",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP1062121",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191912",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.