Organization Active NPI

Rehan Khan, M.D., P.a.

  • Physical Medicine & Rehabilitation Physician
  • Bel Air, MD
National Provider Identifier
1427386507
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
D0062300 Issued in MD
Legal business name
REHAN KHAN, M.D., P.A.
Practice address
4 W Broadway
Bel Air, MD 21014-3546
Phone
(410) 821-8444
Fax
(410) 821-8447
NPI assigned
Nov 30, 2009
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Rehan Ahmad Khan, M.D.NPI 1497796619
Title
Owner
Phone
(202) 236-7338

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X D0062300 MD Primary

Addresses

Primary practice location

4 W Broadway
Bel Air, MD 21014-3546

Mailing address

4 W Broadway
Bel Air, MD 21014-3546
Phone (443) 243-8894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100208000352 MD Part B Supplier - Clinic/Group Practice 3870636277 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD; Bel Air, MD

National Provider Directory

National Provider Directory
Tax ID family
Rehan Ahmad Khan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1427386507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W BROADWAY",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143546",
            "telephone_number": "443-243-8894",
            "fax_number": "443-955-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W BROADWAY",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143546",
            "telephone_number": "410-821-8444",
            "fax_number": "410-821-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAN KHAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "REHAN",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-236-7338",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0062300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.