Individual provider Active NPI

Saima Khalid, M.D.

  • Family Medicine Physician
  • Lititz, PA
National Provider Identifier
1144472432
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD475751 Issued in PA
Practice address
1143 E Oregon Rd Ste 101
Lititz, PA 17543-9299
Phone
(717) 569-7670
Fax
(717) 581-3896
NPI assigned
Oct 17, 2008
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD475751 PA Primary
Occupational Medicine Physician 2083X0100X MD475751 PA

Addresses

Primary practice location

1143 E Oregon Rd Ste 101
Lititz, PA 17543-9299

Mailing address

1143 E Oregon Rd Ste 101
Lititz, PA 17543-9299
Phone (717) 569-7670

Other identifiers 1

IdentifierTypeStateIssuer
008002934MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20211229000274 PA Practitioner - Family Practice 3577628320 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD475751PAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Family Medicine CurrentSince Nov 29, 2021 Accepting new patients
Lancaster General Medical Group CurrentSince Nov 29, 2021 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
WRK Ventures, LLC Past Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients

Locations

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

201 Rock Lititz Blvd
Ste 14
Lititz, PA 17543
Phone (717) 544-7625

1159 River Rd
#F
Marietta, PA 17547
Phone (717) 426-1131

1475 Strickler Rd
Ste 100
Mount Joy, PA 17552
Phone (717) 405-7076

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1144472432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 E OREGON RD STE 101",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439299",
            "telephone_number": "717-569-7670",
            "fax_number": "717-581-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 E OREGON RD STE 101",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439299",
            "telephone_number": "717-569-7670",
            "fax_number": "717-581-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "SAIMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD475751",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "PA",
            "license": "MD475751",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008002934",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

Verify at the official NPI Registry.