Active NPI
Khalid Akbar Khan, MD
- Internal Medicine Physician
- Fort Eustis, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101053819
- Practice address
- 576 Jefferson Ave
McDonald Army Comm Hospital Bldinternal Medicine Clinic
Fort Eustis, VA 23604 - Phone
- (757) 314-7722
- Fax
- (757) 314-7703
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101053819 | VA | Primary |
Addresses
Primary practice location
576 Jefferson Ave
McDonald Army Comm Hospital Bldinternal Medicine Clinic
Fort Eustis, VA 23604
Mailing address
PO Box 9671
McDonald Army Comm Hospital Internal Medicine Clinic
Daytona Beach, FL 32120-9671
Phone (386) 676-7130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
937 N Spring Garden Rd
Deland, FL 32720-2560
Phone (386) 736-1948
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101053819 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Health Care Plan, Inc | Current | Accepting new patients | |
| Florida Health Care Plan, Inc | Current | Accepting new patients | |
| Gustavo Y. Vargas, M.D., Inc | Past | Accepting new patients |
Locations
937 N Spring Garden Ave
Deland, FL 32720
Phone (386) 736-1948
740 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 763-1000
Organizations & group practices 3
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.
-
- Preferred Provider Organization
- Daytona Beach, FL
- NPI 1558302042
-
- Ambulatory Surgical Clinic/Center
- Orange City, FL
- NPI 1659759827
-
- General Practice Physician
- Chesapeake, VA
- NPI 1992038749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1619955168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9671",
"address_2": "MCDONALD ARMY COMM HOSPITAL INTERNAL MEDICINE CLINIC",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321209671",
"telephone_number": "386-676-7130",
"fax_number": "386-676-7125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 JEFFERSON AVE",
"address_2": "MCDONALD ARMY COMM HOSPITAL BLDINTERNAL MEDICINE CLINIC",
"city": "FORT EUSTIS",
"state": "VA",
"postal_code": "23604",
"telephone_number": "757-314-7722",
"fax_number": "757-314-7703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "KHALID",
"middle_name": "AKBAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101053819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Eustis, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.