Organization Active NPI

Mohammad a Khalid MD PC

  • Internal Medicine Physician
  • Wheaton, MD
National Provider Identifier
1649309535
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00043496 Issued in MD
Legal business name
MOHAMMAD A KHALID MD PC
Practice address
12001 Ferrara Ave
Wheaton, MD 20906
Phone
(301) 933-3100
Fax
(301) 942-0532
NPI assigned
Mar 5, 2007
Last updated
Dec 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Authorized official

Name
Mohammad A Khalid, MDNPI 1972525897
Title
President
Phone
(301) 933-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00043496 MD Primary

Addresses

Primary practice location

12001 Ferrara Ave
Wheaton, MD 20906

Mailing address

12001 Ferrara Ave
Wheaton, MD 20906
Phone (301) 933-3100

Other identifiers 2

IdentifierTypeStateIssuer
282330600MedicaidMD
010493100OtherMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041013001294 DC Part B Supplier - Clinic/Group Practice 8628038684 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

4701 Randolph Rd
Ste 101
Rockville, MD 20852
Phone (301) 230-0888

8630 Fenton St
Ste 700
Silver Spring, MD 20910
Phone (301) 470-2313

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1649309535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 FERRARA AVE",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "20906",
            "telephone_number": "301-933-3100",
            "fax_number": "301-942-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 FERRARA AVE",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "20906",
            "telephone_number": "301-933-3100",
            "fax_number": "301-942-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD A KHALID MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "KHALID",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-933-3100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "00043496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282330600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA",
            "identifier": "010493100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.