Individual provider Active NPI

Katayoun Khosravani, MD

  • Family Medicine Physician
  • Norfolk, VA
National Provider Identifier
1659623221
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101249055 Issued in VA
Practice address
7447 Central Business Park Dr
Suite 104
Norfolk, VA 23513-2831
Phone
(757) 853-1380
Fax
(855) 252-4450
NPI assigned
Oct 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 0101249055 VA
Family Medicine Physician 207Q00000X 0101249055 VA Primary
Internal Medicine Physician 207R00000X D0080958 MD

Addresses

Primary practice location

7447 Central Business Park Dr
Suite 104
Norfolk, VA 23513-2831

Mailing address

20501 Seneca Meadows Pkwy Ste 200
Germantown, MD 20876-7018
Phone (227) 250-0255

Other practice location 1

1600 Crain Hwy S Ste 202
Glen Burnie, MD 21061-6438
Phone (443) 957-3570

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
I20121221000140 DC Practitioner - General PracticePractitioner - Preventive Medicine 2961654942 Reassigns benefits to 1 organization
I20240130001831 MD Practitioner - PsychiatryPractitioner - Internal Medicine 2961654942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctors First, LLCGroup PAC ID 3870661978, 58 clinicians
Primary Medicine LLCGroup PAC ID 6709001449, 7 clinicians

Practice addresses (Care Compare)

1600 Crain Hwy S
Suite 202
Glen Burnie, MD 21061-6438
Phone (301) 515-2901

7243 Hanover Pkwy
Suite B
Greenbelt, MD 20770-3605
Phone (301) 459-8108

8600 Snowden River Pkwy
Suite 207
Columbia, MD 21045-1985
Phone (301) 515-2901

Hospital & facility affiliations

  • Americare in Home Nursing Home health agency, Fort Washington, MD, CCN 217152

Merit-based Incentive Payment System (MIPS)

Final score
83.71 of 100Reported as individual
Quality
66.97
Promoting interoperability
91
Improvement activities
40
Cost
73.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0080958MDMDInternal Medicine Physician
0101249055VAMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comptroller of Maryland Central Payroll Bureau CurrentSince Dec 26, 2023 Accepting new patients
Comptroller of Maryland Central Payroll Bureau Current Accepting new patients
Primary Medicine LLC Family Medicine CurrentSince Jan 27, 2018 Accepting new patients
State of Maryland Central Payroll Bureau CurrentSince Dec 26, 2023 Accepting new patients
Primary Medicine LLC Family Medicine PastSince Jan 27, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

300 W Preston St
Ste 402
Baltimore, MD 21201
Phone (410) 767-2940

7243 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 459-8108

14113 Baltimore Ave
#A
Laurel, MD 20707
Phone (301) 498-9494

14205 Park Center Dr
Ste 202
Laurel, MD 20707
Phone (301) 498-9494

6655 Sykesville Rd
Sykesville, MD 21784
Phone (410) 795-2100

Interoperability endpoints

  • Direct secure messaging: katayoun.khosravani.1@32632.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1659623221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20501 SENECA MEADOWS PKWY STE 200",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767018",
            "telephone_number": "227-250-0255",
            "fax_number": "240-238-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 CENTRAL BUSINESS PARK DR",
            "address_2": "SUITE 104",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132831",
            "telephone_number": "757-853-1380",
            "fax_number": "855-252-4450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Crain Hwy S Ste 202",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210616438",
            "country_code": "US",
            "telephone_number": "443-957-3570",
            "fax_number": "866-701-4905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOSRAVANI",
        "first_name": "KATAYOUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "VA",
            "license": "0101249055",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101249055",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0080958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.