Individual provider Active NPI

Neelam Khan, MD

  • Dermatology Physician
  • Washington, DC
National Provider Identifier
1801242292
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD210001378 Issued in DC
Practice address
2440 M St NW Ste 703
Washington, DC 20037-1496
Phone
(202) 618-0446
Fax
(771) 240-4339
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 60585 TN
Dermatology Physician 207N00000X MD210001378 DC Primary

Addresses

Primary practice location

2440 M St NW Ste 703
Washington, DC 20037-1496

Mailing address

2440 M St NW Ste 703
Washington, DC 20037-1496
Phone (202) 618-0446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20201222001159 TN Practitioner - Dermatology 6305258062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD210001378DCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary L. Puissegur Lupo Single Specialty PastSince Aug 1, 2021 Accepting new patients
Washington Institute of Dermatologic Laser Surgery Dermatology PastSince Aug 1, 2021 Accepting new patients
Dr. Adam T Keres LLC. Single Specialty PastSince Nov 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nkhan@directaddress.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1801242292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 M ST NW STE 703",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371496",
            "telephone_number": "202-618-0446",
            "fax_number": "771-240-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 M ST NW STE 703",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371496",
            "telephone_number": "202-618-0446",
            "fax_number": "771-240-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NEELAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TN",
            "license": "60585",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DC",
            "license": "MD210001378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.