Individual provider Active NPI

Jannat Mujahid Khan, MD

  • Orthopaedic Surgery Physician
  • Roanoke Rapids, NC
National Provider Identifier
1174181671
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
202502827 Issued in NC
Practice address
171 NC Highway 125
Roanoke Rapids, NC 27870-6460
Phone
(252) 537-5631
NPI assigned
May 31, 2019
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301506316 MI
Orthopaedic Surgery Physician 207X00000X 202502827 NC Primary
Plastic Surgery Physician 208200000X D0100113 MD

Addresses

Primary practice location

171 NC Highway 125
Roanoke Rapids, NC 27870-6460

Mailing address

171 NC Highway 125
Roanoke Rapids, NC 27870-6460
Phone (252) 537-5631

Other practice location 1

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100

Other practice location 2

10000 Telegraph Rd Ste 100
Taylor, MI 48180-3330
Phone (313) 887-6000

Other practice location 3

600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 955-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NC2 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
I20240927002824 MD Practitioner - Plastic and Reconstructive Surgery 0143608661 Reassigns benefits to 1 organization
I20251001003597 NC Practitioner - Orthopedic Surgery 0143608661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wake Forest University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

171 NC Hwy 125
Suite a
Roanoke Rapids, NC 27870-6460
Phone (252) 537-5631

212 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 537-1717

220 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 537-9268

250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 535-8240

401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202502827NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Plastic Surgery CurrentSince Aug 11, 2024 Accepting new patients
Johns Hopkins University CurrentSince Aug 11, 2024 Accepting new patients
Vidant Medical Group LLC CurrentSince Aug 27, 2025 Accepting new patients
Johns Hopkins University Current Accepting new patients
Oakwood Healthcare Inc PastSince Jul 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4940 Eastern Ave
Baltimore, MD 21224

600 N Wolfe St
Baltimore, MD 21287

601 N Caroline St
Fl 5
Baltimore, MD 21287
Phone (410) 516-8000

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

6201 Greenleigh Ave
Fl 2
Middle River, MD 21220
Phone (410) 933-2704

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Organizations & group practices 6

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 2

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1174181671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 NC HIGHWAY 125",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278706460",
            "telephone_number": "252-537-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 NC HIGHWAY 125",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278706460",
            "telephone_number": "252-537-5631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4940 Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212242735",
            "country_code": "US",
            "telephone_number": "410-550-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10000 Telegraph Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481803330",
            "country_code": "US",
            "telephone_number": "313-887-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870005",
            "country_code": "US",
            "telephone_number": "410-955-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "JANNAT",
        "middle_name": "MUJAHID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301506316",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "202502827",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0100113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

Verify at the official NPI Registry.