NPIMap

Individual provider Active NPI

Kazi S Khan, MD

  • Nephrology Physician
  • Salisbury, MD
National Provider Identifier
1063402857
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0053611 Issued in MD
Practice address
1821 Sweetbay Dr Ste 1
Salisbury, MD 21804-1664
Phone
(410) 546-4427
Fax
(443) 736-4671
NPI assigned
Oct 24, 2005
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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 D0053611 MD Primary

Addresses

Primary practice location

1821 Sweetbay Dr Ste 1
Salisbury, MD 21804-1664

Mailing address

1821 Sweetbay Dr Ste 1
Salisbury, MD 21804-1664
Phone (410) 546-4427

Other practice location 1

165 Market St Ste 6
Onancock, VA 23417-4233
Phone (757) 505-5027

Other practice location 2

11107 Racetrack Rd
Berlin, MD 21811-3279
Phone (410) 973-2731

Other identifiers 1

IdentifierTypeStateIssuer
846200300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041108000177 MD Practitioner - NephrologyPractitioner - Internal Medicine 7719940139 Reassigns benefits to 1 organization
I20220307000326 VA Practitioner - NephrologyPractitioner - Osteopathic Manipulative Medicine 7719940139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Osteopathic Manipulative Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peninsula Nephrology Associates PAGroup PAC ID 4486641677, 7 clinicians

Practice addresses (Care Compare)

165 Market St
Suite 6
Onancock, VA 23417-4233
Phone (800) 424-6589

1821 Sweetbay Dr
Suite 1
Salisbury, MD 21804-1664
Phone 4105464427128

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as group
Quality
57.27
Improvement activities
40
Cost
68.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0053611MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Coastal Care LLC Current Accepting new patients
Vitalcare LLC CurrentSince Jul 13, 2025 Accepting new patients
Atlantic Immedicare LLC Past Accepting new patients
Renal Treatment Centers Mid Atlantic Inc PastSince Jan 28, 2022 Accepting new patients
Baltimore Washington Medical Center Inc. Hospitalist Past Accepting new patients
Atlantic General Hospital Corporation Hospitalist Past Accepting new patients

Locations

1821 Sweetbay Dr
Ste 1
Salisbury, MD 21804
Phone (410) 546-4427

Interoperability endpoints

  • Direct secure messaging: kazi.khan@direct.davitaphysiciansolutions.com

Organizations & group practices 7

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 8

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1063402857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 SWEETBAY DR STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041664",
            "telephone_number": "410-546-4427",
            "fax_number": "443-736-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 SWEETBAY DR STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041664",
            "telephone_number": "410-546-4427",
            "fax_number": "443-736-4671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Market St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Onancock",
            "state": "VA",
            "postal_code": "234174233",
            "country_code": "US",
            "telephone_number": "757-505-5027",
            "fax_number": "757-505-5147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11107 Racetrack Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218113279",
            "country_code": "US",
            "telephone_number": "410-973-2731",
            "fax_number": "410-973-2993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "KAZI",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0053611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "846200300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.