NPIMap

Individual provider Active NPI

Mohammad Ali Khan, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Gettysburg, PA
National Provider Identifier
1609336668
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
D0096384 Issued in MD
Practice address
147 Gettys St
Gettysburg, PA 17325-2534
Phone
(717) 334-4120
NPI assigned
Mar 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X D0096384 MD Primary

Addresses

Primary practice location

147 Gettys St
Gettysburg, PA 17325-2534

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 851-3034

Other identifiers 1

IdentifierTypeStateIssuer
104456250MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA, PA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240618001194 MD Practitioner - Pathology 7719420835
I20250414000167 VA Practitioner - Pathology 7719420835 Reassigns benefits to 1 organization
I20250415003556 PA Practitioner - Pathology 7719420835 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Gettysburg HospitalGroup PAC ID 2769373331, 66 clinicians
Waynesboro HospitalGroup PAC ID 6305830936, 29 clinicians

Practice addresses (Care Compare)

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 851-1405

501 E Main St
Pathology Dept
Waynesboro, PA 17268-2394
Phone (717) 762-7775

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 396-5297

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Waynesboro Hospital CurrentSince Jun 2, 2025 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Mar 17, 2025 Accepting new patients
The Gettysburg Hospital CurrentSince Jun 2, 2025 Accepting new patients
The Gettysburg Hospital CurrentSince Jun 2, 2025 Accepting new patients
Waynesboro Hospital Anatomic Pathology & Clinical Pathology CurrentSince Jun 2, 2025 Accepting new patients
Chambersburg Pathology Associates, Inc Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2026 Accepting new patients
Uva Community Health Medical Group, LLC Past Accepting new patients

Locations

5700 Southwyck Blvd
Toledo, OH 43614

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

147 Gettys St
Gettysburg, PA 17325
Phone (717) 334-2121

147 Gettys St
#3786
Gettysburg, PA 17325
Phone (717) 334-4216

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Organizations & group practices 7

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1609336668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 GETTYS ST",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173252534",
            "telephone_number": "717-334-4120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-851-3034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD",
        "middle_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-24",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MD",
            "license": "D0096384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104456250",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.