Active NPI
Mohammad Ali Khan, MD
- Pediatrics Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C1-0008136
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000040965 | Medicaid | DE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15427R | LA | MD | Emergency Medical Services (Emergency Medicine) Physician |
| C1-0008136 | DE | MD | Pediatric Adolescent Medicine Physician |
| D0064698 | MD | MD | Neonatal-Perinatal Medicine Physician |
| MD429242 | PA | MD | Substance Abuse Rehabilitation Facility |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pediatrics Physician
- Elkton, MD
- NPI 1215253935
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- General Acute Care Hospital
- Seaford, DE
- NPI 1245214477
Addiction Medicine
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1558053181
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1124067848
-
- Hospitalist Physician
- Bel Air, MD
- NPI 1497801419
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.