Individual provider Active NPI

Farooque S.a. Khan, MD

  • Pain Medicine (Anesthesiology) Physician
  • Greensboro, NC
National Provider Identifier
1063457208
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
016016 Issued in ME
Practice address
3721 W Market St Ste B
Greensboro, NC 27403-1374
Phone
(336) 584-7050
Fax
(336) 584-7066
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 016016 ME Primary

Addresses

Primary practice location

3721 W Market St Ste B
Greensboro, NC 27403-1374

Mailing address

3721 W Market St Ste B
Greensboro, NC 27403-1374
Phone (336) 584-7050

Other practice location 1

2961 Crouse Lane
Suite D
Burlington, NC 27215-8833
Phone (336) 584-7050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100514000290 NC Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 8022011048 Reassigns benefits to 1 organization
I20250219000203 VA Practitioner - Anesthesiology 8022011048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3721 W Market St
Suite B
Greensboro, NC 27403-1374
Phone (336) 584-7050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Virginia, LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1063457208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 W MARKET ST STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031374",
            "telephone_number": "336-584-7050",
            "fax_number": "336-584-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 W MARKET ST STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031374",
            "telephone_number": "336-584-7050",
            "fax_number": "336-584-7066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2961 Crouse Lane",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272158833",
            "country_code": "US",
            "telephone_number": "336-584-7050",
            "fax_number": "336-584-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FAROOQUE",
        "middle_name": "S.A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "ME",
            "license": "016016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.