NPIMap

Individual provider Active NPI

Maryam Khan, M.D

  • Internal Medicine Physician
  • Timonium, MD
National Provider Identifier
1144752908
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0088409 Issued in MD
Practice address
1205 York Rd Ste 11
Timonium, MD 21093-6211
Phone
(443) 577-4010
Fax
(443) 577-4010
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0088409 MD Primary

Addresses

Primary practice location

1205 York Rd Ste 11
Timonium, MD 21093-6211

Mailing address

1205 York Rd Ste 11
Lutherville Timonium, MD 21093-6211
Phone (443) 577-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20200728003129 MD Practitioner - Internal Medicine 3971928664 Reassigns benefits to 3 organizations
I20211007003719 DC Practitioner - Internal Medicine 3971928664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Synergy Medical Group LLCGroup PAC ID 0749644177, 102 clinicians

Practice addresses (Care Compare)

1205 York Rd
Suite 11
Timonium, MD 21093-6211
Phone (443) 577-4010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0088409MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Medical Associates, PA CurrentSince Jul 1, 2020 Accepting new patients
Synergy Medical Group LLC Internal Medicine Current Accepting new patients
Synergy Medical Group LLC Internal Medicine CurrentSince Mar 3, 2024 Accepting new patients
Maryam Khan MD LLC CurrentSince May 1, 2023 Accepting new patients
Synergy Medical Group LLC Internal Medicine CurrentSince Mar 3, 2024 Accepting new patients
Synergy Medical Group LLC Internal Medicine CurrentSince Mar 3, 2024 Accepting new patients
Synergy Medical Group LLC Internal Medicine Current Accepting new patients
Orchard Hill Operator LLC Past Accepting new patients
Riverside SNF Operator, LLC Past Accepting new patients
Forest Hill SNF Operator LLC Past Accepting new patients

Locations

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

821 N Eutaw St
Ste 308
Baltimore, MD 21201
Phone (410) 383-2072

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

3000 North Ridge Rd
Ellicott City, MD 21043
Phone (410) 461-7577

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031

Organizations & group practices 11

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 5

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1144752908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 YORK RD STE 11",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210936211",
            "telephone_number": "443-577-4010",
            "fax_number": "443-577-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 YORK RD STE 11",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210936211",
            "telephone_number": "443-577-4010",
            "fax_number": "443-577-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MARYAM",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2023-09-15",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0088409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.