NPIMap

Individual provider Active NPI

Mohammad A Khan, M.D.

  • Nephrology Physician
  • Washington, DC
National Provider Identifier
1043267016
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD30300 Issued in DC
Practice address
730 24TH St NW
Suite 17
Washington, DC 20037-2543
Phone
(202) 337-7660
Fax
(202) 625-6018
NPI assigned
May 27, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD30300 DC Primary

Addresses

Primary practice location

730 24TH St NW
Suite 17
Washington, DC 20037-2543

Mailing address

4915 Auburn Ave
Suite 200
Bethesda, MD 20814-2636
Phone (301) 907-3939

Other identifiers 1

IdentifierTypeStateIssuer
023731600MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100427000044 DC Practitioner - NephrologyPractitioner - Internal Medicine 8325010200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington Nephrology Associates LLPGroup PAC ID 8527951318, 31 clinicians

Practice addresses (Care Compare)

4141 A Duke St
Alexandria, VA 22304-2415
Phone (703) 461-3556

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Nephrology Associates, L.L.P. Nephrology CurrentSince Dec 2, 1997 Accepting new patients
Mwrdc of Annapolis Nephrology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Bio-Medical Applications of Columbia Heights, Inc. PastSince Jun 1, 2010 Accepting new patients

Locations

1140 Varnum St NE
Ste 110
Washington, DC 20017
Phone (202) 269-0366

1160 Varnum St NE
Ste 10
Washington, DC 20017
Phone (202) 269-0366

730 24th St NW
Ste 17
Washington, DC 20037
Phone (202) 337-7660

4915 Auburn Ave
Ste 200
Bethesda, MD 20814
Phone (301) 907-3939

5550 Friendship Blvd
Ste 340
Chevy Chase, MD 20815
Phone (202) 337-7660

4141A Duke St
Alexandria, VA 22304
Phone (703) 461-3556

108 Terminal Dr
Sterling, VA 20166
Phone (703) 478-3970

2030 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 490-9080

Interoperability endpoints

  • Direct secure messaging: mkhan17131@direct.acumenmd.com

Organizations & group practices 4

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

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1043267016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 AUBURN AVE",
            "address_2": "SUITE 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142636",
            "telephone_number": "301-907-3939",
            "fax_number": "301-656-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 24TH ST NW",
            "address_2": "SUITE 17",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372543",
            "telephone_number": "202-337-7660",
            "fax_number": "202-625-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "DC",
            "license": "MD30300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023731600",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.