Fareeha I Khan, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101055045 Issued in VA

Practice address

1900 Gallows Rd Ste 100
Vienna, VA 22182-3886

Phone

(703) 560-1075

Fax

(703) 560-1076

NPI assigned

May 27, 2005

Reactivated

Jun 23, 2006

Last updated

Nov 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 7

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3238/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fareeha I Khan, MD PC

  • Specialist
  • Fairfax, VA
  • NPI 1316139157

  DC

  Medicare reassignment NPD Authorized official
• Valley Health Clinic Inc

  • Primary Care Clinic/Center
  • Manassas, VA
  • NPI 1912065863

  Specialist

  NPD (past)
• Virginia Nuclear Cardiology PLC

  • Pulmonary Function Technologist
  • Annandale, VA
  • NPI 1467672212
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1609879303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 GALLOWS RD STE 100",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823886",
            "telephone_number": "703-560-1075",
            "fax_number": "703-560-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GALLOWS RD STE 100",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823886",
            "telephone_number": "703-560-1075",
            "fax_number": "703-560-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FAREEHA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101055045",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101055045",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3304254",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00094786",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010034736",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7489487",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2128312",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "J093 0001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "267155",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Kersens Kerr, LPC
• Michael Kerrigan, MD
• Mona Keshtkaran
• Gashtyar Khalid
• Zaid Khalil, M.D.
• Hira Khan
• Khadija Khan
• Kheir Counseling PLLC
• Gigi Khonyongwa-Fernandez, OTR/L, ACC
• Jailan Khorsheed, ADVANCED CERTIFICATE

• Specialist in Vienna, VA
• Providers in Vienna, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.