Individual provider Active NPI

Abeda Ali Khan, M.D.

  • Internal Medicine Physician
  • Columbia, MD
National Provider Identifier
1407894140
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D43323 Issued in MD
Practice address
10820 Hickory Ridge Rd
Columbia, MD 21044-3622
Phone
(410) 730-9526
Fax
(410) 730-7509
NPI assigned
Jun 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D43323 MD Primary

Addresses

Primary practice location

10820 Hickory Ridge Rd
Columbia, MD 21044-3622

Mailing address

8118 Brookwood Farm Rd
Fulton, MD 20759-9658
Phone (301) 725-1393

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000178 MD Practitioner - Internal Medicine 1456495654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8118 Brookwood Farm Rd
Fulton, MD 20759-9658
Phone (410) 730-9526

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abeda Ali Khan, MD PA Internal Medicine CurrentSince Aug 1, 2000 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10820 Hickory Ridge Rd
Columbia, MD 21044
Phone (410) 730-9526

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 3

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407894140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 BROOKWOOD FARM RD",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207599658",
            "telephone_number": "301-725-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 HICKORY RIDGE RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443622",
            "telephone_number": "410-730-9526",
            "fax_number": "410-730-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI KHAN",
        "first_name": "ABEDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D43323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.