Active NPI
Mouen A Khashab, MD
- Gastroenterology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- D71725
- Practice address
- 1800 Orleans St # 7125B
Baltimore, MD 21287-0010 - Phone
- (443) 287-1960
- Fax
- (443) 683-8335
- NPI assigned
- Oct 3, 2006
- Last updated
- Jan 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01062563A | IN | |
| Internal Medicine Physician | 207R00000X | 01062563A | IN | |
| Gastroenterology Physician | 207RG0100X | D71725 | MD | Primary |
Addresses
Primary practice location
1800 Orleans St # 7125B
Baltimore, MD 21287-0010
Mailing address
9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6423
Other practice location 1
16403 Old Emmitsburg Rd
Emmitsburg, MD 21727-8929
Phone (240) 215-6310
Other practice location 2
3000D Ventrie Ct
Myersville, MD 21773-7817
Phone (240) 215-6310
Other practice location 3
7211 Bank Ct
Frederick, MD 21703-8483
Phone (240) 215-6310
Other practice location 4
3430 Worthington Blvd
Frederick, MD 21704-7017
Phone (240) 215-6310
Other practice location 5
1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone (240) 215-6310
Other practice location 6
504 E Ridgeville Blvd
Mount Airy, MD 21771-5942
Phone (240) 215-6310
Other practice location 7
501 W 7th St
Frederick, MD 21701-4586
Phone (240) 215-6310
Other practice location 8
194 Thomas Johnson Dr
Frederick, MD 21702-4679
Phone (240) 215-6310
Other practice location 9
75 Thomas Johnson Dr
Frederick, MD 21702-4895
Phone (240) 215-6310
Other practice location 10
230 W Patrick St
Frederick, MD 21701-6945
Phone (240) 215-6310
Other practice location 11
141 Thomas Johnson Dr
Frederick, MD 21702-4502
Phone (240) 215-6310
Other practice location 12
400 W 7th St
Frederick, MD 21701-4506
Phone (240) 215-6310
Other practice location 13
15 E Frederick St
Walkersville, MD 21793-8234
Phone (240) 215-6310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100
5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-4714
600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000
600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340
6201 Greenleigh Ave
Middle River, MD 21220-2004
Hospital & facility affiliations
- Johns Hopkins Hospital, the
- Johns Hopkins Bayview Medical Center
- Johns Hopkins Howard County Medical Center
- Frederick Health Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 150 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 952 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01062563A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Frederick Health Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Southside Emergency Associates | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037
1800 Orleans St
#7125B
Baltimore, MD 21287
Phone (443) 287-1960
600 N Wolfe St
Baltimore, MD 21287
16403 Old Emmitsburg Rd
Emmitsburg, MD 21727
Phone (240) 566-3100
141 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 620-7478
1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500
194 Thomas Johnson Dr
Frederick, MD 21702
Phone (240) 215-6370
194 Thomas Johnson Dr
Ste C
Frederick, MD 21702
Phone (240) 379-6636
230 W Patrick St
Frederick, MD 21701
Phone (240) 215-6370
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
501 W 7th St
Frederick, MD 21701
Phone (301) 360-2574
75 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 631-3674
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
504 E Ridgeville Blvd
Mount Airy, MD 21771
Phone (301) 703-5452
3000D Ventrie Ct
Myersville, MD 21773
Phone (301) 663-3137
3430 Worthington Blvd
Urbana, MD 21704
Phone (240) 215-6900
Interoperability endpoints
- mkhashab35599@direct.hopkinsmedicine.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
dba Frederick Health Medical Group
- Family Medicine Physician
- Frederick, MD
- NPI 1619258225
Internal Medicine
-
- Family Medicine Physician
- Mount Airy, MD
- NPI 1114771862
-
dba Frederick Health Medical Group
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Frederick, MD
- NPI 1134497704
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Personal Emergency Response Attendant
- Indianapolis, IN
- NPI 1053366922
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Johns Hopkins Howard County Medical Center
- General Acute Care Hospital
- Columbia, MD
- NPI 1144291899
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
dba Johns Hopkins Bayview Care Center
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1679668909",
"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": "1800 ORLEANS ST # 7125B",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870010",
"telephone_number": "443-287-1960",
"fax_number": "443-683-8335"
}
],
"practiceLocations": [
{
"address_1": "16403 Old Emmitsburg Rd",
"address_purpose": "LOCATION",
"city": "Emmitsburg",
"state": "MD",
"postal_code": "217278929",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000D Ventrie Ct",
"address_purpose": "LOCATION",
"city": "Myersville",
"state": "MD",
"postal_code": "217737817",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7211 Bank Ct",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217038483",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3430 Worthington Blvd",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217047017",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1562 Opossumtown Pike",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024920",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "504 E Ridgeville Blvd",
"address_purpose": "LOCATION",
"city": "Mount Airy",
"state": "MD",
"postal_code": "217715942",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 W 7th St",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217014586",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "194 Thomas Johnson Dr",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024679",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 Thomas Johnson Dr",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024895",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "230 W Patrick St",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217016945",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "141 Thomas Johnson Dr",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024502",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 W 7th St",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217014506",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 E Frederick St",
"address_purpose": "LOCATION",
"city": "Walkersville",
"state": "MD",
"postal_code": "217938234",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHASHAB",
"first_name": "MOUEN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01062563A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01062563A",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MD",
"license": "D71725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.