Individual provider Active NPI

Sara Khaver, CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1396300158
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R217541 Issued in MD
Practice address
7617 Carla Rd
Baltimore, MD 21208-4410
Phone
(443) 466-9264
NPI assigned
May 7, 2019
Last updated
May 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R217541 MD Primary

Addresses

Primary practice location

7617 Carla Rd
Baltimore, MD 21208-4410

Mailing address

7617 Carla Rd
Baltimore, MD 21208-4410
Phone (443) 466-9264

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191008000558 MD Practitioner - Nurse Practitioner 4981935897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kiumarce Kashi MD PCGroup PAC ID 6103984539, 4 clinicians

Practice addresses (Care Compare)

6830 Hospital Dr
Suite 106
Baltimore, MD 21237-4375
Phone (410) 686-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiumarce Kashi MD PC CurrentSince Aug 19, 2019 Accepting new patients

Locations

3029 Dundalk Ave
Dundalk, MD 21222
Phone (410) 284-3322

6830 Hospital Dr
Ste 106
Rosedale, MD 21237
Phone (410) 682-3800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIEHAA

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.

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": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1396300158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 CARLA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212084410",
            "telephone_number": "443-466-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 CARLA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212084410",
            "telephone_number": "443-466-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAVER",
        "first_name": "SARA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R217541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.