Individual provider Active NPI

Ali Tariq Khan

  • Gastroenterology Physician
  • Arlington, VA
National Provider Identifier
1134514227
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101278813 Issued in VA
Practice address
1715 N George Mason Dr Ste 410
Arlington, VA 22205-3666
Phone
(703) 524-4792
NPI assigned
Apr 6, 2015
Last updated
Jun 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 295395 NY
Gastroenterology Physician 207RG0100X 0101278813 VA Primary

Addresses

Primary practice location

1715 N George Mason Dr Ste 410
Arlington, VA 22205-3666

Mailing address

40 Mitchell Avenue
Binghamton, NY 13903
Phone (607) 772-0639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC2 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
I20180911001940 NY Practitioner - HospitalistPractitioner - Internal Medicine 8820348980 Reassigns benefits to 2 organizations
I20230705001950 DC Practitioner - Gastroenterology 8820348980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1851 N George Mason Dr
Suite 3a
Arlington, VA 22207-1953
Phone (703) 717-4792

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.33 of 100Reported as group
Quality
74.39
Promoting interoperability
87
Improvement activities
40
Cost
70.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy58
Upper gastrointestinal (GI) endoscopy for acid reflux77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC CurrentSince Jan 18, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 3, 2018 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Aug 28, 2023 Accepting new patients
United Medical Associates, P.C. CurrentSince Jan 18, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 3, 2018 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Aug 28, 2023 Accepting new patients
Virginia Hospital Center Physician Group LLC Past Accepting new patients
Delaware Valley Hospital, Inc Past Accepting new patients

Locations

33 Lewis Rd
Ste 2
Binghamton, NY 13905

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1715 N George Mason Dr
Ste 410
Arlington, VA 22205
Phone (703) 524-4792

1851 N George Mason Dr
Ste 3A
Arlington, VA 22207
Phone (703) 717-4792

1851 N George Mason Dr
Ste 3C
Arlington, VA 22207
Phone (703) 717-7780

Interoperability endpoints

  • Direct secure messaging: akhan103432@direct.virginiahospitalcenter.net

Organizations & group practices 9

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 1

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1134514227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MITCHELL AVENUE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13903",
            "telephone_number": "607-772-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N GEORGE MASON DR STE 410",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053666",
            "telephone_number": "703-524-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ALI",
        "middle_name": "TARIQ",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "295395",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101278813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.