Mubashir A Khan, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

0101230654 Issued in VA

Practice address

4720 Puddledock Rd
Suite 100
Prince George, VA 23875-1237

Phone

(804) 452-4546

Fax

(804) 452-4549

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuro Care of Virginia PCGroup PAC ID 5991801987, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020
• Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067

Merit-based Incentive Payment System (MIPS)

Final score

78.43 of 100Reported as individual

Quality

78.18

Promoting interoperability

94

Improvement activities

40

Cost

49.87

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (4 of 5)

Locations

Networks

• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4844/brand/1/csg/1/fhir/r4
• Direct secure messaging: mubashir.khan.1@4844.direct.athenahealth.com

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.

• Neuro Care of Virginia PC

  • Neurology Physician
  • Prince George, VA
  • NPI 1124087812

  Neurology, VA

  Medicare reassignment Care Compare group NPD Authorized official
• Hopewell Gastroenterology PC

  • Gastroenterology Physician
  • Hopewell, VA
  • NPI 1568571685
  NPD (past)
• Pulmonary & Critical Care Associates of the Tri-Cities PC

  • Pulmonary Disease Physician
  • Hopewell, VA
  • NPI 1821057639
  NPD (past)
• Kansas Neurological Consultants

  • Specialist
  • Wichita, KS
  • NPI 1316910540

  Neurology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bon Secours Mercy Health Petersburg LLC

  • General Acute Care Hospital
  • Petersburg, VA
  • NPI 1720623853

  Hospital

  Care Compare affiliation
• Columbia/HCA John Randolph, Inc.

  • General Acute Care Hospital
  • Hopewell, VA
  • NPI 1285671248

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1023087368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 PUDDLEDOCK RD",
            "address_2": "SUITE 100",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751237",
            "telephone_number": "804-452-4546",
            "fax_number": "804-452-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 PUDDLEDOCK RD",
            "address_2": "SUITE 100",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751237",
            "telephone_number": "804-452-4546",
            "fax_number": "804-452-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUBASHIR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101230654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007104545",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C08332",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomie Joseph-Nieto, LPC
• K & D Transportation Services LLC
• K & D Transportation Services LLC
• Kadarnath S Boodram MD LLC
• Rachel Zitting Kemmey, CCC-SLP
• Yoon Kong, DPT
• Evelyn Ann Koon, DPT
• Elizabeth Kuhfuss-Beville, MS, CCC-SLP
• Laboratory Corporation of America Holdings
• Ruthe Laurore, LPC, NCC

• All providers in Prince George, VA
• Neurology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.