Shahab A Khan, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

D64637 Issued in MD

Practice address

6934 Aviation Blvd Ste F
Glen Burnie, MD 21061-2593

Phone

(410) 760-3588

Fax

(410) 760-3604

NPI assigned

Jun 14, 2006

Last updated

Jan 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-Atlantic Nephrology Associates PAGroup PAC ID 2769469006, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Aviation Blvd Dialysis Dialysis facility, Glen Burnie, MD, CCN 212631
• DaVita Pasadena Dialysis Dialysis facility, Pasadena, MD, CCN 212613
• DaVita Glen Burnie Home Training Dialysis facility, Glen Burnie, MD, CCN 212674
• University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043
• Medstar Harbor Hospital Hospital, Baltimore, MD, CCN 210034
• Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shahabkhan@mana.allscriptsdirect.net
• Direct secure messaging: skhan22242@direct.umm.edu

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.

• Mid-Atlantic Nephrology Associates PA

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1356390108
  Medicare reassignment Care Compare group NPD
• Mid-Atlantic Nephrology Associates PA

  • Nephrology Physician
  • Lutherville, MD
  • NPI 1366291254
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dva Healthcare of Maryland LLC

  dba Pasadena Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pasadena, MD
  • NPI 1518927391

  Dialysis facility

  Care Compare affiliation Name & address match
• Kidney Home Center LLC

  dba Glen Burnie Home Training

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Glen Burnie, MD
  • NPI 1144597196

  Dialysis facility

  Care Compare affiliation Name & address match
• Victory Dialysis LLC

  dba Aviation Blvd Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Glen Burnie, MD
  • NPI 1255623534

  Dialysis facility

  Care Compare affiliation Name & address match
• Baltimore Washington Medical Center Inc.

  • General Acute Care Hospital
  • Glen Burnie, MD
  • NPI 1124016696
  Care Compare affiliation
• Harbor Hospital, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1720175623
  Care Compare affiliation
• Luminis Health Anne Arundel Medical Center, Inc.

  dba Conexus Laboratories Inc.

  • Clinical Medical Laboratory
  • Annapolis, MD
  • NPI 1356885032

  Hospital

  Care Compare affiliation
• Luminis Health Anne Arundel Medical Center, Inc.

  • General Acute Care Hospital
  • Annapolis, MD
  • NPI 1477517225
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1336182302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 SULPHUR SPRING RD STE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272542",
            "telephone_number": "410-536-5400",
            "fax_number": "410-737-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 AVIATION BLVD STE F",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612593",
            "telephone_number": "410-760-3588",
            "fax_number": "410-760-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAHAB",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D64637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Key Point Health Services, Inc.
• Christine Key, P.T.
• Keyona LLC (Empire Towers Pharmacy)
• Phue Khaing
• Majid Kamran Khan, OD
• Basant K. Khandelwal, M.D.
• Rita - Khandelwal, M.D.
• Karim Khatibi, MD
• Jawaad Siddique Khokhar, M.D.
• Hamid Kiabayan, MD

• Nephrology Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Nephrology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.

Verify at the official NPI Registry.