Active NPI
Aboubakr M Khairat, M.D.
- Surgery Physician
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0076378
- Practice address
- 11110 Medical Campus Rd Ste 147
Hagerstown, MD 21742-6755 - Phone
- (301) 714-4350
- Fax
- (301) 714-4353
- NPI assigned
- May 30, 2008
- Last updated
- Dec 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101255407 | VA | |
| Surgery Physician | 208600000X | D0076378 | MD | Primary |
| Surgery Physician | 208600000X | C4512 | KY |
Addresses
Primary practice location
11110 Medical Campus Rd Ste 147
Hagerstown, MD 21742-6755
Mailing address
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Other practice location 1
503 Dutchmans Ln
Shore Surgical Group
Easton, MD 21601-4334
Phone (410) 822-4553
Other practice location 2
2006 Health Campus Dr Ste 200
Rockingham, VA 22801-8679
Phone (540) 689-5800
Other practice location 3
1532 Lone Oak Rd Ste 235
Paducah, KY 42003-7946
Phone (270) 442-9463
Other practice location 4
503 Dutchmans Ln
Shore Surgical Group
Easton, MD 21601-4334
Phone (410) 822-4553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, VA, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845
295 Stoner Ave
Suite 102
Westminster, MD 21157-5662
Phone (410) 848-1818
Hospital & facility affiliations
- University of MD Shore Medical Center at Easton
- Carroll Hospital Center
- Atlantic General Hospital
- St Vincent Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4512 | KY | MD | Surgery Physician |
| D0076378 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Vein Clinics of Maryland LLC | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| RMH Medical Group LLC | Current | Accepting new patients | |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Carroll Health Group, LLC | Surgery | Current | Accepting new patients |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Tidalhealth Specialty Care, LLC | Current | Accepting new patients | |
| RMH Medical Group LLC | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky Specialty Care LLC | Surgery | Current | Accepting new patients |
| Maryland and Virginia Phlebology PC | Surgery | Current | Accepting new patients |
| Maryland and Virginia Phlebology PC | Surgery | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Mercy Health Physicians Kentucky LLC | Surgery | Past | Accepting new patients |
Locations
1532 Lone Oak Rd
Ste 235
Paducah, KY 42003
Phone (270) 442-9463
1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830
1910 Towne Centre Blvd
Ste 210
Annapolis, MD 21401
Phone (410) 571-8525
1500 Whetstone Way
Ste 104
Baltimore, MD 21230
Phone (410) 244-8110
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
219 S Washington St
Easton, MD 21601
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
11110 Medical Campus Rd
Ste 147
Hagerstown, MD 21742
Phone (240) 313-9600
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
1809 Reisterstown Rd
Ste 146
Pikesville, MD 21208
Phone (410) 580-0057
193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
295 Stoner Ave
Ste 102
Westminster, MD 21157
Phone (410) 848-1818
3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150
136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104
2006 Health Campus Dr
Ste 200
Rockingham, VA 22801
Phone (540) 689-5555
Interoperability endpoints
- akhairat449273@direct.ahsys.org
- akhairat6986@direct.umm.edu
Organizations & group practices 17
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.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
dba Vein Clinics of America
- Surgery Physician
- Baltimore, MD
- NPI 1750462081
-
- Medical Specialty Clinic/Center
- Salisbury, MD
- NPI 1619504735
-
- Surgery Physician
- Paducah, KY
- NPI 1700408093
-
dba Sentara RMH Medical Group
- General Practice Physician
- Rockingham, VA
- NPI 1669844908
-
- Vascular Surgery Physician
- Annapolis, MD
- NPI 1972201879
-
dba Meritus Radiology
- Diagnostic Radiology Physician
- Hagerstown, MD
- NPI 1184477911
-
dba Meritus Palliative Care
- Nurse Practitioner
- Hagerstown, MD
- NPI 1205176393
-
dba Meritus Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Hagerstown, MD
- NPI 1295782910
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
-
- Vascular Surgery Physician
- Rockville, MD
- NPI 1003616541
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westminster, MD
- NPI 1912904210
-
dba UM Shore Medical Center at Dorchester
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
dba UM Shore Medical Center at Easton
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
-
dba Atlantic General Hospital Corp
- General Acute Care Hospital
- Berlin, MD
- NPI 1053309120
-
dba Saint Vincent Hospital
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1720246358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11116 MEDICAL CAMPUS RD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11110 MEDICAL CAMPUS RD STE 147",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426755",
"telephone_number": "301-714-4350",
"fax_number": "301-714-4353"
}
],
"practiceLocations": [
{
"address_1": "503 Dutchmans Ln",
"address_2": "Shore Surgical Group",
"address_purpose": "LOCATION",
"city": "Easton",
"state": "MD",
"postal_code": "216014334",
"country_code": "US",
"telephone_number": "410-822-4553",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2006 Health Campus Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Rockingham",
"state": "VA",
"postal_code": "228018679",
"country_code": "US",
"telephone_number": "540-689-5800",
"fax_number": "757-579-8580",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1532 Lone Oak Rd Ste 235",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420037946",
"country_code": "US",
"telephone_number": "270-442-9463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "503 Dutchmans Ln",
"address_2": "Shore Surgical Group",
"address_purpose": "LOCATION",
"city": "Easton",
"state": "MD",
"postal_code": "216014334",
"country_code": "US",
"telephone_number": "410-822-4553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAIRAT",
"first_name": "ABOUBAKR",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-30",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101255407",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0076378",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "C4512",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.