Individual provider Active NPI

Hana Hashim Khidir, MD

  • Hospitalist Physician
  • Baltimore, MD
National Provider Identifier
1659768455
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
D87695 Issued in MD
Practice address
600 N Wolfe Street
Meyer 8-134B
Baltimore, MD 21287-0005
Phone
(443) 287-3631
Fax
(410) 502-0923
NPI assigned
Apr 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X D87695 MD Primary

Addresses

Primary practice location

600 N Wolfe Street
Meyer 8-134B
Baltimore, MD 21287-0005

Mailing address

9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, CA2 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
I20191022002310 MD Practitioner - Hospitalist 4789916875 Reassigns benefits to 2 organizations
I20201123003093 CA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4789916875 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D87695MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jan 10, 2020 Accepting new patients
Johns Hopkins University CurrentSince Aug 28, 2019 Accepting new patients
Johns Hopkins University CurrentSince Jan 10, 2020 Accepting new patients
Johns Hopkins University Hospitalist CurrentSince Aug 28, 2019 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles CurrentSince Nov 1, 2020 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Nov 1, 2020 Accepting new patients
Johns Hopkins University Current Accepting new patients

Locations

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

600 N Wolfe St
Baltimore, MD 21287

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

600 N Wolfe St
#8134B
Baltimore, MD 21287
Phone (443) 287-3631

Organizations & group practices 8

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": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1659768455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR STE 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE STREET",
            "address_2": "MEYER 8-134B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "443-287-3631",
            "fax_number": "410-502-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHIDIR",
        "first_name": "HANA",
        "middle_name": "HASHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D87695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.