Active NPI
Pleasant Valley Medical Center, Inc
- Family Medicine Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PLEASANT VALLEY MEDICAL CENTER, INC
- Practice address
- 4221 Pleasant Valley Rd
Suite 114
Virginia Beach, VA 23464-8519 - Phone
- (757) 495-7420
- Fax
- (757) 495-3917
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdur R Khan, M.D.
- Title
- President
- Phone
- (757) 495-7420
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | VA | Primary | |
| Pediatrics Physician | 208000000X | VA |
Addresses
Primary practice location
4221 Pleasant Valley Rd
Suite 114
Virginia Beach, VA 23464-8519
Mailing address
4221 Pleasant Valley Rd
Suite 114
Virginia Beach, VA 23464-8519
Phone (757) 495-7420
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330829 | Other | VA | BCBS |
| 330828 | Other | VA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0859564 | Pleasant Valley Medical Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
4221 Pleasant Valley Rd
Virginia Beach, VA 23464
Phone (757) 685-4079
4221 Pleasant Valley Rd
Ste 114
Virginia Beach, VA 23464
Phone (757) 495-7420
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Virginia Beach, VA
- NPI 1992766851
-
- Pediatrics Physician
- Virginia Beach, VA
- NPI 1154382018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202860800000",
"number": "1295826071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4221 PLEASANT VALLEY RD",
"address_2": "SUITE 114",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234648519",
"telephone_number": "757-495-7420",
"fax_number": "757-495-3917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4221 PLEASANT VALLEY RD",
"address_2": "SUITE 114",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234648519",
"telephone_number": "757-495-7420",
"fax_number": "757-495-3917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASANT VALLEY MEDICAL CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2008-02-13",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "ABDUR",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-495-7420",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "VA",
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "VA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "330829",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "330828",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.