Individual provider Active NPI

Khan Meraj Tanveer, M.D

  • Family Medicine Physician
  • Westover, WV
National Provider Identifier
1780899062
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
WV 22922 Issued in WV
Practice address
40 Commerce Dr
Suite 101
Westover, WV 26501-3874
Phone
(304) 292-7535
NPI assigned
May 11, 2007
Last updated
Oct 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X WV22922 WV
Family Medicine Physician 207Q00000X WV 22922 WV Primary

Addresses

Primary practice location

40 Commerce Dr
Suite 101
Westover, WV 26501-3874

Mailing address

670 Killarney Dr
Morgantown, WV 26505-2428
Phone (404) 668-6942

Other identifiers 2

IdentifierTypeStateIssuer
3810010811MedicaidWV
001973506OtherWVMS BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20180430001495 WV Order and Referring Only - Family PracticePractitioner - Family Practice 2961591979

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WV 22922WVMDFamily Medicine Physician
WV22922WVMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1780899062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 KILLARNEY DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052428",
            "telephone_number": "404-668-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 COMMERCE DR",
            "address_2": "SUITE 101",
            "city": "WESTOVER",
            "state": "WV",
            "postal_code": "265013874",
            "telephone_number": "304-292-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANVEER",
        "first_name": "KHAN",
        "middle_name": "MERAJ",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "WV22922",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "WV 22922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010811",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BCBS",
            "identifier": "001973506",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westover, WV

Sources for this page

Verify at the official NPI Registry.