Individual provider Active NPI

Rehan Khan, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Bel Air, MD
National Provider Identifier
1497796619
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
D62300 Issued in MD
Practice address
4 W Broadway
Bel Air, MD 21014-3546
Phone
(443) 243-8894
Fax
(443) 955-5728
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X D62300 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

Other practice location 1

8895 Centre Park Dr Unit 3E
Columbia, MD 21045-1966
Phone (443) 243-8894

Other identifiers 1

IdentifierTypeStateIssuer
406744400MedicaidMD

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
I20050216000969 MD Practitioner - Physical Medicine and Rehabilitation 6305898487 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

Hospital & facility affiliations

  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rehan Khan, M.D., P.a. Physical Medicine & Rehabilitation CurrentSince Dec 15, 2009 Accepting new patients
Rehan Khan, M.D., P.a. CurrentSince Nov 1, 2024 Accepting new patients
MD Immediate Care LLC CurrentSince May 12, 2013 Accepting new patients
MD Family Care LLC CurrentSince Nov 25, 2016 Accepting new patients

Locations

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

8895 Centre Park Dr
Unit 3E
Columbia, MD 21045
Phone (443) 243-8894

502 Lewis St
Havre de Grace, MD 21078
Phone (443) 502-5311

504 Lewis St
Hvre de Grace, MD 21078
Phone (410) 939-0700

6701 N Charles St
Ste 4202
Towson, MD 21204
Phone (410) 400-2830

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1497796619",
    "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": "443-817-9766"
        },
        {
            "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": "443-243-8894",
            "fax_number": "443-955-5728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8895 Centre Park Dr Unit 3E",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210451966",
            "country_code": "US",
            "telephone_number": "443-243-8894",
            "fax_number": "443-955-5728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "REHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D62300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406744400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.