Individual provider Active NPI

Enamul Hoq Kahn, M.D.

  • Family Medicine Physician
  • Stafford, VA
National Provider Identifier
1093908469
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101049572 Issued in VA
Practice address
237 Garrisonville Rd Ste 101
Stafford, VA 22554-1553
Phone
(540) 659-0550
Fax
(540) 720-2386
NPI assigned
Aug 20, 2007
Last updated
Aug 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101049572 VA Primary

Addresses

Primary practice location

237 Garrisonville Rd Ste 101
Stafford, VA 22554-1553

Mailing address

237 Garrisonville Rd Ste 101
Stafford, VA 22554-1553
Phone (540) 659-0550

Other identifiers 2

IdentifierTypeStateIssuer
5135099OtherAETNA
104215OtherVABC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000766 VA Practitioner - Internal MedicinePractitioner - AnesthesiologyPractitioner - Pediatric Medicine 9032203088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Anesthesiology, Pediatric Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

237 Garrisonville Rd
Suite 101
Stafford, VA 22554-1553
Phone (540) 659-0550

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NS Family Medical Center Inc. CurrentSince Aug 1, 1996 Accepting new patients

Locations

3813 Lafayette Blvd
Fredericksburg, VA 22408
Phone (202) 821-3040

237 Garrisonville Rd
Ste 101
Stafford, VA 22554
Phone (540) 659-0550

Organizations & group practices 1

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 4

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": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1093908469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 GARRISONVILLE RD STE 101",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541553",
            "telephone_number": "540-659-0550",
            "fax_number": "540-720-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 GARRISONVILLE RD STE 101",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541553",
            "telephone_number": "540-659-0550",
            "fax_number": "540-720-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "ENAMUL",
        "middle_name": "HOQ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101049572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5135099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "104215",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.