Individual provider Active NPI

Yasmin Khan, MD

  • Internal Medicine Physician
  • Arlington, VA
National Provider Identifier
1447234513
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101253110 Issued in VA
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

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100070504MedicaidTX
100070505MedicaidTX
100070503MedicaidTX
8U7224OtherTXBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130123000173 DC Practitioner - Internal Medicine 3870517782 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC CurrentSince Jan 7, 2013 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.