Individual provider Active NPI

Muhammad Taimoor Khan, MD

  • Vascular Neurology Physician
  • Fairfax, VA
National Provider Identifier
1053670414
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
0101271538 Issued in VA
Practice address
8081 Innovation Park Dr Ste 900
Fairfax, VA 22031-4867
Phone
(571) 472-4200
Fax
(571) 472-4201
NPI assigned
May 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 26469 WV
Neurology Physician 2084N0400X 0101271538 VA
Neurology Physician 2084N0400X THMD00036 AZ
Vascular Neurology Physician 2084V0102X 26469 WV
Vascular Neurology Physician 2084V0102X 0101271538 VA Primary

Addresses

Primary practice location

8081 Innovation Park Dr Ste 900
Fairfax, VA 22031-4867

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

415 Morris St Ste 300
Charleston, WV 25301-1853
Phone (304) 388-6441

Other practice location 2

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

Other practice location 3

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000

Other practice location 4

2501 Parkers Ln
Alexandria, VA 22306-3209
Phone (703) 664-7000

Other practice location 5

1500 N Beauregard St Ste 300
Alexandria, VA 22311-1715
Phone (703) 845-1500

Other practice location 6

44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000

Other practice location 7

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Other practice location 8

701 Madison Ave
Madison, WV 25130-1669
Phone (304) 369-1230

Other practice location 9

20 Hospital Dr
Logan, WV 25601-3452
Phone (304) 831-1101

Other practice location 10

186 Hospital Dr
Grantsville, WV 26147-7100
Phone (304) 354-9244

Other practice location 11

230 George St Ste 2
Beckley, WV 25801-2620
Phone (304) 255-2878

Other practice location 12

150 Duncan Rd
Buckeye, WV 24924-9037
Phone (304) 799-7400

Other practice location 13

401 6th Ave
Montgomery, WV 25136-2116
Phone (304) 442-5151

Other identifiers 1

IdentifierTypeStateIssuer
007230344MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, LA, MS, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160920000203 WV Practitioner - Neurology 1254633860 Reassigns benefits to 3 organizations
I20210802001101 LA Practitioner - Neurology 1254633860 Reassigns benefits to 1 organization
I20211215002213 MS Practitioner - Neurology 1254633860 Reassigns benefits to 2 organizations
I20230124000501 AZ Practitioner - Neurology 1254633860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuview Telehealth LLCGroup PAC ID 8022166974, 97 clinicians
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone (304) 647-4411

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

350 Crossgates Blvd
Brandon, MS 39042-2601
Phone (561) 299-3667

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
THMD00036AZMDNeurology Physician
0101271538VAMDNeurology Physician
26469WVMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuview Health Indiana PC CurrentSince Jan 7, 2023 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jul 10, 2016 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jul 10, 2016 Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Ochsner Mississippi, LLC CurrentSince Oct 1, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 21, 2021 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Oct 1, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 21, 2021 Accepting new patients
Appalachia Pathology Consultants LLC Current Accepting new patients
Logan General Hospital LLC CurrentSince Mar 8, 2021 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

230 George St
Ste 2
Beckley, WV 25801
Phone (304) 255-2878

415 Morris St
Ste 300
Charleston, WV 25301
Phone (304) 345-6303

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

3100 Maccorkle Ave SE
Ste 203
Charleston, WV 25304
Phone (304) 345-8820

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

Interoperability endpoints

  • Direct secure messaging: mkhan1357591@direct.ochsner.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1053670414",
    "addresses": [
        {
            "country_code": "US",
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            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
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            "address_purpose": "LOCATION",
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            "address_1": "8081 INNOVATION PARK DR STE 900",
            "city": "FAIRFAX",
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            "postal_code": "220314867",
            "telephone_number": "571-472-4200",
            "fax_number": "571-472-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Morris St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011853",
            "country_code": "US",
            "telephone_number": "304-388-6441",
            "fax_number": "304-388-6445",
            "country_name": "United States",
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        },
        {
            "address_1": "3600 Joseph Siewick Dr",
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            "postal_code": "220331709",
            "country_code": "US",
            "telephone_number": "703-391-3600",
            "fax_number": "703-391-3414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4320 Seminary Rd",
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            "postal_code": "223041535",
            "country_code": "US",
            "telephone_number": "703-504-3000",
            "fax_number": "703-504-3388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Parkers Ln",
            "address_purpose": "LOCATION",
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            "postal_code": "223063209",
            "country_code": "US",
            "telephone_number": "703-664-7000",
            "fax_number": "703-664-7666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 N Beauregard St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223111715",
            "country_code": "US",
            "telephone_number": "703-845-1500",
            "fax_number": "703-845-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44045 Riverside Pkwy",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201765101",
            "country_code": "US",
            "telephone_number": "703-858-6000",
            "fax_number": "703-858-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WV",
            "postal_code": "251301669",
            "country_code": "US",
            "telephone_number": "304-369-1230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "WV",
            "postal_code": "256013452",
            "country_code": "US",
            "telephone_number": "304-831-1101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Grantsville",
            "state": "WV",
            "postal_code": "261477100",
            "country_code": "US",
            "telephone_number": "304-354-9244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 George St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258012620",
            "country_code": "US",
            "telephone_number": "304-255-2878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Duncan Rd",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "WV",
            "postal_code": "249249037",
            "country_code": "US",
            "telephone_number": "304-799-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "WV",
            "postal_code": "251362116",
            "country_code": "US",
            "telephone_number": "304-442-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUHAMMAD",
        "middle_name": "TAIMOOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WV",
            "license": "26469",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101271538",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "THMD00036",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "WV",
            "license": "26469",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "VA",
            "license": "0101271538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007230344",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.