Active NPI
Yasmin Khan, MD
- Internal Medicine Physician
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101253110
- Practice address
- 1107 S Walter Reed Dr Apt 204
Arlington, VA 22204-4371 - Phone
- (302) 786-7862
- NPI assigned
- Dec 2, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G2042 | TX | |
| Internal Medicine Physician | 207R00000X | 0101253110 | VA | Primary |
Addresses
Primary practice location
1107 S Walter Reed Dr Apt 204
Arlington, VA 22204-4371
Mailing address
3130 Fairview Park Dr.
Suite 300
Falls Church, VA 22042
Phone (703) 914-2942
Other practice location 1
6565 Arlington Blvd
Suite 500
Falls Church, VA 22042
Phone (703) 531-2244
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100070504 | Medicaid | TX | |
| 100070505 | Medicaid | TX | |
| 100070503 | Medicaid | TX | |
| 8U7224 | Other | TX | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ykhan55405@soc.inova.org | Health Information Exchange (HIE) | Inova Health Care Services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Physician Partners, LLC | Current | Accepting new patients | |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223
6565 Arlington Blvd
Ste 500
Falls Church, VA 22042
Phone (703) 396-6194
Interoperability endpoints
- ykhan55405@soc.inova.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1447234513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 FAIRVIEW PARK DR.",
"address_2": "SUITE 300",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "22042",
"telephone_number": "703-914-2942",
"fax_number": "703-207-7065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 S WALTER REED DR APT 204",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222044371",
"telephone_number": "302-786-7862"
}
],
"practiceLocations": [
{
"address_1": "6565 Arlington Blvd",
"address_2": "Suite 500",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "22042",
"country_code": "US",
"telephone_number": "703-531-2244",
"fax_number": "703-207-7863",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "YASMIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-02",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "G2042",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101253110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100070504",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100070505",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100070503",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8U7224",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ykhan55405@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Health Care Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "6565 Arlington Blvd",
"address_2": "Suite 500",
"city": "Falls Church",
"state": "VA",
"country_code": "US",
"postal_code": "22042",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.