Active NPI
George Khachan, M.D.,P.A.
- Specialist
- Cumberland, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D38971
- Practice address
- 625 Kent Ave
Suite 301
Cumberland, MD 21502-3794 - Phone
- (301) 724-1151
- Fax
- (301) 724-1894
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D38971 | MD | Primary |
Addresses
Primary practice location
625 Kent Ave
Suite 301
Cumberland, MD 21502-3794
Mailing address
912 Bishop Walsh Rd
Cumberland, MD 21502-1806
Phone (301) 724-1151
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069751600 | Medicaid | MD | |
| 3810004421 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
625 Kent Ave
Cumberland, MD 21502-3794
625 Kent Ave
Suite 301
Cumberland, MD 21502-3754
Phone (301) 724-1151
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D38971 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George Khachan, M.D., P.a. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
625 Kent Ave
Ste 301
Cumberland, MD 21502
Phone (301) 724-1151
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Cumberland, MD
- NPI 1902162530
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Upmc Western Maryland Center for Hope and Healing
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
Hospital
-
dba UPMC Western Maryland
- General Acute Care Hospital
- Cumberland, MD
- NPI 1609831247
-
dba UPMC Western Maryland
- Hearing and Speech Clinic/Center
- Cumberland, MD
- NPI 1740969245
Hospital
-
dba UPMC Western Maryland
- Clinic/Center
- Cumberland, MD
- NPI 1780251850
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164454765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 BISHOP WALSH RD",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215021806",
"telephone_number": "301-724-1151",
"fax_number": "301-724-1894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 KENT AVE",
"address_2": "SUITE 301",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215023794",
"telephone_number": "301-724-1151",
"fax_number": "301-724-1894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHACHAN",
"first_name": "GEORGE",
"credential": "M.D.,P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D38971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069751600",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004421",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.