NPIMap

Individual provider Active NPI

Shakil A Khan, M.D.

  • Specialist
  • Midlothian, VA
National Provider Identifier
1043343122
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101236527 Issued in VA
Practice address
13700 St Francis Blvd
Suite 600
Midlothian, VA 23114-3222
Phone
(804) 794-6400
Fax
(804) 897-0910
NPI assigned
Mar 14, 2007
Last updated
Dec 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101236527 VA Primary

Addresses

Primary practice location

13700 St Francis Blvd
Suite 600
Midlothian, VA 23114-3222

Mailing address

7001 Forest Ave
Suite 200
Richmond, VA 23230-1726
Phone (804) 288-3123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070712000296 VA Practitioner - Cardiovascular Disease (Cardiology) 0446350987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Virginia Commonwealth University, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11601 Iron Bridge Rd
Suite 200
Chester, VA 23831-1468
Phone (804) 285-6018

12310 W Broad St
Suite 204
Richmond, VA 23233-7606
Phone (804) 288-3123

13710 St Francis Blvd
Suite 600
Midlothian, VA 23114-3267
Phone (804) 794-6400

213 N Main St
Blackstone, VA 23824-1425
Phone (434) 292-7261

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 281-8222

5855 Bremo Rd
Suite 306
Richmond, VA 23226-1923
Phone (804) 287-7650

7001 Forest Ave
Richmond, VA 23230-1726

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101236527VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Jan 1, 2006 Accepting new patients
Bon Secours St Mary's Hospital of Richmond LLC CurrentSince Jan 1, 2006 Accepting new patients
Bon Secours St. Mary's Hospital of Richmond LLC Current Accepting new patients
Hospital Physician Services, LLLP Past Accepting new patients
Cardiovascular Associates of Virginia, P.C. Specialist Past Accepting new patients

Locations

10150 Staples Mill Rd
Ste E
Glen Allen, VA 23060
Phone (804) 755-7581

13700 St Francis Blvd
Ste 600
Midlothian, VA 23114
Phone (804) 794-6400

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

681 Hioaks Rd
Ste H
Richmond, VA 23225
Phone (804) 323-1804

7001 Forest Ave
Ste 200
Richmond, VA 23230
Phone (804) 288-3123

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

Interoperability endpoints

  • Direct secure messaging: skhan1152649@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1043343122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 FOREST AVE",
            "address_2": "SUITE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301726",
            "telephone_number": "804-288-3123",
            "fax_number": "804-288-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 ST FRANCIS BLVD",
            "address_2": "SUITE 600",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143222",
            "telephone_number": "804-794-6400",
            "fax_number": "804-897-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAKIL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101236527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.