Active NPI
Samina B Khan, MA, CCC-A
- Audiologist
- Westborough, MA
National Provider Identifier
1619116308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 514
- Practice address
- 150 Flanders Rd
Westborough, MA 01581-1017 - Phone
- (508) 762-8050
- Fax
- (978) 478-3092
- NPI assigned
- Feb 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 514 | MA | Primary |
| Assistive Technology Practitioner Audiologist | 231HA2400X | 514 | MA | |
| Assistive Technology Supplier Audiologist | 231HA2500X | 514 | MA | |
| Audiologist-Hearing Aid Fitter | 237600000X | 514 | MA |
Addresses
Primary practice location
150 Flanders Rd
Westborough, MA 01581-1017
Mailing address
150 Flanders Rd
Westborough, MA 01581-1017
Phone (508) 762-8050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100113000740 | MA | Practitioner - Qualified Audiologist | 6709927619 | Practice locations: Westborough, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
150 Flanders Rd
Westborough, MA 01581-1017
150 Flanders Rd Whittier Rehab Hosp
Dba Advanced Hearing Solutions
Westborough, MA 01581-1017
Phone (508) 762-8050
3 Garfield Dr
Westborough, MA 01581-3608
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 514 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251072000000",
"number": "1619116308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 FLANDERS RD",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015811017",
"telephone_number": "508-762-8050",
"fax_number": "978-478-3092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 FLANDERS RD",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015811017",
"telephone_number": "508-762-8050",
"fax_number": "978-478-3092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "SAMINA",
"middle_name": "B",
"credential": "MA, CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-19",
"last_updated": "2009-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "514",
"primary": true
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "MA",
"license": "514",
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "MA",
"license": "514",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MA",
"license": "514",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westborough, MA
- Teresa Mary Kelly
- Rachel Louise Kennedy
- Kenstem Healthcare Staffing LLC
- Aliya Aziz Khan, M.D.
- Huma Khan, PHYSICIAN ASSISTANT
- Kids N Fun Therapy LLP
- Kimina Counseling LLC
- Kindred Nursing Centers East, L.L.C. (Kindred Transitional Care and Rehabilitation-Westborough)
- Tracy King, OTR/L
- Joel Klein, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.