NPIMap

Individual provider Active NPI

Jawad H Khan, MD

  • Pulmonary Disease Physician
  • Leesburg, VA
National Provider Identifier
1407865082
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101250780 Issued in VA
Practice address
19490 Sandridge Way Ste 210
Leesburg, VA 20176-3467
Phone
(703) 723-7504
Fax
(703) 723-7550
NPI assigned
Aug 5, 2006
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101250780 VA
Pulmonary Disease Physician 207RP1001X 0101250780 VA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 0101250780 VA

Addresses

Primary practice location

19490 Sandridge Way Ste 210
Leesburg, VA 20176-3467

Mailing address

224D Cornwall St NW Ste 403
Leesburg, VA 20176-2704
Phone (703) 737-6001

Other identifiers 1

IdentifierTypeStateIssuer
1407865082MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkhan137902@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140919001748 VA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Sleep MedicinePractitioner - Critical Care (Intensivists) 3072404649 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians

Practice addresses (Care Compare)

19490 Sandridge Way
Suite 210
Leesburg, VA 20176-3467
Phone (571) 223-5723

43141 Unison Knoll Cir
Ashburn, VA 20148-7137
Phone (262) 893-0540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101250780VAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Dec 1, 2021 Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 1, 2018 Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 1, 2018 Accepting new patients
Winchester Medical Center Critical Care Medicine CurrentSince Dec 1, 2021 Accepting new patients
Arrhythmia Center for Southern Wi, LTD Past Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Midwest Pulmonary Consultants LLC Pulmonary Disease Past Accepting new patients
Impact Physician Group, Cardiology LLC Past Accepting new patients
Karim Bakhtiar MD SC PastSince Jan 1, 2000 Accepting new patients

Locations

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

19490 Sandridge Way
Ste 210
Leesburg, VA 20176
Phone (703) 723-7504

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19178/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jawad.khan.1@11907.direct.athenahealth.com
  • Direct secure messaging: jawad.khan@lmg1.eclinicaldirectplus.com

Organizations & group practices 11

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 6

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1407865082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224D CORNWALL ST NW STE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6001",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19490 SANDRIDGE WAY STE 210",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763467",
            "telephone_number": "703-723-7504",
            "fax_number": "703-723-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "JAWAD",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101250780",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101250780",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "VA",
            "license": "0101250780",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407865082",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkhan137902@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Winchester",
            "address_1": "1840 Amherst Street",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.