Individual provider Active NPI

Aboubakr M Khairat, M.D.

  • Surgery Physician
  • Hagerstown, MD
National Provider Identifier
1720246358
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0076378 Issued in MD
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20131003000410 MD Practitioner - General Surgery 3678707700 Reassigns benefits to 5 organizations
I20220616000455 VA Practitioner - General Surgery 3678707700 Reassigns benefits to 1 organization
I20251211003636 KY Practitioner - General Surgery 3678707700 Reassigns benefits to 1 organization

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
Carroll Health Group LLCGroup PAC ID 3870627029, 68 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C4512KYMDSurgery Physician
D0076378MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
USA Vein Clinics of Maryland LLC CurrentSince Mar 20, 2025 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Dec 2, 2025 Accepting new patients
RMH Medical Group LLC CurrentSince May 6, 2022 Accepting new patients
Meritus Medical Center Inc CurrentSince Jan 9, 2017 Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Meritus Medical Center Inc CurrentSince Jan 9, 2017 Accepting new patients
Carroll Health Group, LLC Surgery CurrentSince Nov 27, 2016 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Oct 11, 2018 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Mar 1, 2026 Accepting new patients
RMH Medical Group LLC CurrentSince May 6, 2022 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Oct 11, 2018 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC Surgery CurrentSince Dec 2, 2025 Accepting new patients
Maryland and Virginia Phlebology PC Surgery CurrentSince Apr 19, 2024 Accepting new patients
Maryland and Virginia Phlebology PC Surgery PastSince Mar 30, 2025 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

  • Direct secure messaging: akhairat449273@direct.ahsys.org
  • Direct secure messaging: 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.

View all 17

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.