Individual provider Active NPI

Sidrah Begum Khan, MD

  • Family Medicine Physician
  • Rockville, MD
National Provider Identifier
1225425416
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D84833 Issued in MD
Practice address
14800 Physicians LN
Rockville, MD 20850-3940
Phone
(301) 251-9800
NPI assigned
Apr 25, 2015
Last updated
Nov 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D84833 MD Primary

Addresses

Primary practice location

14800 Physicians LN
Rockville, MD 20850-3940

Mailing address

11605 Bedfordshire Ave
Potomac, MD 20854-2014

Other practice location 1

1776 Powder Mill Rd
Silver Spring, MD 20903-1514
Phone (301) 434-0599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20180718000952 DC Practitioner - Family Practice 6507152097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montgomery Health Center, LLCGroup PAC ID 5597806570, 2 clinicians

Practice addresses (Care Compare)

14800 Physicians LN
Suite 131
Rockville, MD 20850-3913
Phone (301) 251-9800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Health Center, LLC Family Medicine CurrentSince Aug 13, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

14800 Physicians Ln
Ste 131
Rockville, MD 20850
Phone (301) 251-9800

11161 New Hampshire Ave
Ste 102
Silver Spring, MD 20904
Phone (301) 434-0599

Organizations & group practices 2

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 1

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": "1429920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1225425416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 BEDFORDSHIRE AVE",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 PHYSICIANS LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503940",
            "telephone_number": "301-251-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1776 Powder Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209031514",
            "country_code": "US",
            "telephone_number": "301-434-0599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SIDRAH",
        "middle_name": "BEGUM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-25",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D84833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.