Individual provider Active NPI

Samiur Rahman Khandker, MD

  • Emergency Medicine Physician
  • Reston, VA
National Provider Identifier
1689847287
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101251972 Issued in VA
Practice address
12025 New Dominion Pkwy Apt 208
Reston, VA 20190-6265
Phone
(571) 218-7477
NPI assigned
Apr 4, 2008
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q2007 TX
Emergency Medicine Physician 207P00000X 0101251972 VA Primary

Addresses

Primary practice location

12025 New Dominion Pkwy Apt 208
Reston, VA 20190-6265

Mailing address

12025 New Dominion Pkwy Apt 208
Reston, VA 20190-6265
Phone (571) 218-7477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141217002604 TX Practitioner - Emergency Medicine 4587829155 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q2007TXMDEmergency Medicine Physician
0101251972VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Medical Services PLLC Emergency Medicine CurrentSince Dec 1, 2014 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Jul 29, 2024 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Dec 1, 2014 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Midland Emergency Managers PLLC Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine Current Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Oct 11, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1689847287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12025 NEW DOMINION PKWY APT 208",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201906265",
            "telephone_number": "571-218-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12025 NEW DOMINION PKWY APT 208",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201906265",
            "telephone_number": "571-218-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANDKER",
        "first_name": "SAMIUR",
        "middle_name": "RAHMAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q2007",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101251972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.