Rabab Khan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

151064 Issued in MA

Practice address

320 Bolton Street
Marlboro Pediatrics
Marlboro, MA 01752

Phone

(508) 460-9670

NPI assigned

Jul 26, 2006

Last updated

Jul 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Town Center Pediatrics

  • Pediatrics Physician
  • Southborough, MA
  • NPI 1992800957
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1770506933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BOLTON STREET",
            "address_2": "MARLBORO PEDIATRICS",
            "city": "MARLBORO",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "508-460-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BOLTON STREET",
            "address_2": "MARLBORO PEDIATRICS",
            "city": "MARLBORO",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "508-460-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RABAB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "151064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "151064",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "B10181101",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3156541",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "201500",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J16869",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Hale Hangen, MD
• Carol Heppen-Gordon, MSW
• Marilyn L Hickey
• Arnold James Hill, M.D.
• Jewell Eye Inc
• Anne Lee Kinsman, NP-C, MSN, RN
• Laura Leigh Larsen-Stevovich, SLP
• Margaret K Leon, MS.ED.
• Shelley Marie Lyons, LMHC
• Carol Ann Maloney, APRN, MSN, NP

• Pediatrics Physician in Marlboro, MA
• Providers in Marlboro, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.

Verify at the official NPI Registry.