Individual provider Active NPI

Mohammed Kalan, M.D.

  • Surgery Physician
  • Potomac, MD
National Provider Identifier
1629077151
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
30842 Issued in DC
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

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
824400600MedicaidMD
AL990001OtherCAREFIRST
010228816MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051222000236 DC Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 6800818535 Reassigns benefits to 2 organizations
I20240102000986 MD Practitioner - General Surgery 6800818535 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30842DCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Surgeons, LLC Surgery CurrentSince Jul 25, 2023 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Jan 2, 2024 Accepting new patients
Medical Practices of Antietam, LLC CurrentSince Jan 2, 2024 Accepting new patients
Washington Cardiothoracic Surgery Assoc.,PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Prall Anesthesia LLC PastSince Oct 5, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.