Active NPI
Mohammed Kalan, M.D.
- Surgery Physician
- Potomac, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 30842
- Practice address
- 13116 Brushwood Way
Potomac, MD 20854-1025 - Phone
- (571) 275-9279
- NPI assigned
- Jul 18, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 30842 | DC | Primary |
Addresses
Primary practice location
13116 Brushwood Way
Potomac, MD 20854-1025
Mailing address
PO Box 70635
Bethesda, MD 20813-0635
Phone (202) 775-9375
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 824400600 | Medicaid | MD | |
| AL990001 | Other | CAREFIRST | |
| 010228816 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30842 | DC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol Surgeons, LLC | Surgery | Current | Accepting new patients |
| Medical Practices of Antietam LLC | Current | Accepting new patients | |
| Medical Practices of Antietam, LLC | Current | Accepting new patients | |
| Washington Cardiothoracic Surgery Assoc.,PLLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Prall Anesthesia LLC | Past | Accepting new patients |
Locations
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
11110 Medical Campus Rd
Ste 147
Hagerstown, MD 21742
Phone (240) 313-9600
8630 Fenton St
Ste 122
Silver Spring, MD 20910
Phone (301) 588-0057
3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150
Interoperability endpoints
- mkalan52063@direct.hopkinsmedicine.org
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.
-
- Clinic/Center
- Hagerstown, MD
- NPI 1710854963
-
- General Practice Physician
- Hagerstown, MD
- NPI 1558430843
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Certified Registered Nurse Anesthetist
- Chevy Chase, MD
- NPI 1134093875
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Washington, DC
- NPI 1588606115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1629077151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70635",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208130635",
"telephone_number": "202-775-9375",
"fax_number": "202-776-9088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13116 BRUSHWOOD WAY",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541025",
"telephone_number": "571-275-9279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALAN",
"first_name": "MOHAMMED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DC",
"license": "30842",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "824400600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "AL990001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010228816",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.