Individual provider Active NPI

Mahwish Shakil Khurram, MD

  • Internal Medicine Physician
  • Columbia, MD
National Provider Identifier
1548654429
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0084827 Issued in MD
Practice address
7226 Lee Deforest Dr
Columbia, MD 21046-3239
Phone
(410) 656-2646
NPI assigned
Mar 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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 D0084827 MD Primary
Hospitalist Physician 208M00000X D0084827 MD

Addresses

Primary practice location

7226 Lee Deforest Dr
Columbia, MD 21046-3239

Mailing address

13583 Julia Manor Way
West Friendship, MD 21794-9220
Phone (410) 979-4194

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
I20180720001339 MD Practitioner - Internal MedicinePractitioner - Hospitalist 6709133820 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9106 Philadelphia Rd
Suite 204
Baltimore, MD 21237-4333
Phone (410) 687-8777

Hospital & facility affiliations

  • Home Call, Inc Home health agency, Westminster, MD, CCN 217115
  • Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0084827MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Adfinitas Health at Upper Chesapeake Aberdeen LLC Hospitalist CurrentSince Jul 1, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince May 1, 2023 Accepting new patients
Privia Medical Group, LLC Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Upper Chesapeake Medical Services, Inc Hospitalist CurrentSince Jul 9, 2018 Accepting new patients
Adfinitas Health at Upper Chesapeake, LLC Hospitalist CurrentSince Jul 1, 2023 Accepting new patients
Adfinitas Health at Upper Chesapeake Harford Memorial LLC Hospitalist CurrentSince Jul 1, 2023 Accepting new patients
Mahwish Khurram Mdpa Internal Medicine CurrentSince Mar 1, 2025 Accepting new patients
Privia Care Center LLC Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

501 S Union Ave
Hvre de Grace, MD 21078
Phone (301) 939-2400

9106 Philadelphia Rd
Ste 204
Rosedale, MD 21237
Phone (410) 687-8777

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAGHBA/Endpoint/CAGHBA

Organizations & group practices 10

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 2

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": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1548654429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13583 JULIA MANOR WAY",
            "city": "WEST FRIENDSHIP",
            "state": "MD",
            "postal_code": "217949220",
            "telephone_number": "410-979-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7226 LEE DEFOREST DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463239",
            "telephone_number": "410-656-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHURRAM",
        "first_name": "MAHWISH",
        "middle_name": "SHAKIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0084827",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D0084827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.