Individual provider Active NPI

Mohammad Ali Khan, MD

  • Pediatrics Physician
  • Newark, DE
National Provider Identifier
1639113285
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C1-0008136 Issued in DE
Practice address
2600 Glasgow Ave Ste 212
Newark, DE 19702-5704
Phone
(302) 449-5791
Fax
(443) 350-9783
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X MD429242 PA
Neonatal-Perinatal Medicine Physician 2080N0001X D0064698 MD
Adult Medicine Physician 207QA0505X 15427R LA
Pediatric Hematology & Oncology Physician 2080P0207X 15427R LA
Substance Abuse Rehabilitation Facility 324500000X 15427R LA
Hospitalist Physician 208M00000X D0064698 MD
Pediatrics Physician 208000000X D0064698 MD
Pediatrics Physician 208000000X C1-0008136 DE Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 15427R LA
Pediatric Adolescent Medicine Physician 2080A0000X C1-0008136 DE
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X C1-0008136 DE
Pediatric Hematology & Oncology Physician 2080P0207X D0064698 MD
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 15427R LA
Addiction Medicine (Family Medicine) Physician 207QA0401X 15427R LA
Pediatrics Physician 208000000X 15427R LA

Addresses

Primary practice location

2600 Glasgow Ave Ste 212
Newark, DE 19702-5704

Mailing address

2600 Glasgow Ave Ste 212
Newark, DE 19702-5704
Phone (302) 449-5791

Other practice location 1

111 W High St Ste 307
Elkton, MD 21921-8617
Phone (302) 449-5791

Other identifiers 1

IdentifierTypeStateIssuer
1000040965MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15427RLAMDEmergency Medical Services (Emergency Medicine) Physician
C1-0008136DEMDPediatric Adolescent Medicine Physician
D0064698MDMDNeonatal-Perinatal Medicine Physician
MD429242PAMDSubstance Abuse Rehabilitation Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Khan Pediatrics Inc Pediatrics Current Accepting new patients
Christiana Care Health Services, Inc. Past Accepting new patients
Precision Diagnostic Radiology LLC Past Accepting new patients
Tidalhealth Nanticoke, Inc Addiction Medicine Past Accepting new patients
Union Hospital of Cecil County Past Accepting new patients
Upper Chesapeake Medical Services, Inc Hospitalist Past Accepting new patients

Locations

266 S College Ave
Newark, DE 19711
Phone (302) 368-2563

2600 Glasgow Ave
Ste 212
Newark, DE 19702
Phone (302) 832-8700

103 E Main St
Elkton, MD 21921

111 W High St
Ste 307
Elkton, MD 21921
Phone (410) 620-4722

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

Organizations & group practices 6

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1639113285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE STE 212",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025704",
            "telephone_number": "302-449-5791",
            "fax_number": "443-350-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE STE 212",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025704",
            "telephone_number": "302-449-5791",
            "fax_number": "443-350-9783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W High St Ste 307",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219218617",
            "country_code": "US",
            "telephone_number": "302-449-5791",
            "fax_number": "443-350-9783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "MD429242",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MD",
            "license": "D0064698",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "LA",
            "license": "15427R",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "LA",
            "license": "15427R",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "15427R",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D0064698",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0064698",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C1-0008136",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "LA",
            "license": "15427R",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "DE",
            "license": "C1-0008136",
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "DE",
            "license": "C1-0008136",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MD",
            "license": "D0064698",
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "LA",
            "license": "15427R",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "LA",
            "license": "15427R",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "15427R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000040965",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.