Individual provider Active NPI

Hina Rahman Khan, MD

  • Pediatrics Physician
  • Fredericksburg, VA
National Provider Identifier
1194936187
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101245558 Issued in VA
Practice address
4425 Plank Rd
Fredericksburg, VA 22407-4809
Phone
(540) 785-9595
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101245558 VA Primary

Addresses

Primary practice location

4425 Plank Rd
Fredericksburg, VA 22407-4809

Mailing address

5638 Beachview Creek Dr
Woodbridge, VA 22192-6066
Phone (703) 408-0240

Other identifiers 2

IdentifierTypeStateIssuer
H76845OtherVAUPIN NUMBER FOR PRACTICE
6736416MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101245558VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Health, PC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hina.khan@pmuc.eclinicaldirectplus.com

Organizations & group practices 1

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1194936187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5638 BEACHVIEW CREEK DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926066",
            "telephone_number": "703-408-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074809",
            "telephone_number": "540-785-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "HINA",
        "middle_name": "RAHMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101245558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN NUMBER FOR PRACTICE",
            "identifier": "H76845",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6736416",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.