Active NPI
Debra Elise Khani, M.D.
- Internal Medicine Physician
- Baltimore, MD
National Provider Identifier
1700800687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 179666
- Practice address
- 10 N Greene St
Baltimore, MD 21201-1524 - Phone
- (410) 605-7000
- Fax
- (410) 605-7192
- NPI assigned
- Jul 26, 2006
- Last updated
- Jun 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 179666 | NY | Primary |
Addresses
Primary practice location
10 N Greene St
Baltimore, MD 21201-1524
Mailing address
10 N Greene St
Baltimore, MD 21201-1524
Phone (410) 605-7000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179666 | Medicaid | NY | |
| 176204BJ | Other | NY | PREFERRED CARE |
| 6613 | Other | NY | BLUE CROSS ROCHESTER |
| P010179666 | Other | NY | BLUE CHOICE ROCHESTER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180308001941 | MD | Order and Referring Only - Internal Medicine | 7214942820 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1700800687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 N GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011524",
"telephone_number": "410-605-7000",
"fax_number": "410-605-7192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 N GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011524",
"telephone_number": "410-605-7000",
"fax_number": "410-605-7192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANI",
"first_name": "DEBRA",
"middle_name": "ELISE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "179666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179666",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "176204BJ",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ROCHESTER",
"identifier": "6613",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE ROCHESTER",
"identifier": "P010179666",
"state": "NY"
}
],
"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 Jun 20, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.