Individual provider Active NPI

Samir Khanjar, MD

  • Obstetrics & Gynecology Physician
  • Newport, RI
National Provider Identifier
1801847736
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD19955 Issued in RI
Practice address
11 Friendship St
Newport, RI 02840-2209
Phone
(401) 845-1652
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD19955 RI Primary

Addresses

Primary practice location

11 Friendship St
Newport, RI 02840-2209

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779

Other identifiers 2

IdentifierTypeStateIssuer
603202800MedicaidMD
P00216349OtherMDMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NY, DC, MA, NJ, VA, RI7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20040806000236 MD Practitioner - Obstetrics/Gynecology 7113998766 Reassigns benefits to 6 organizations
I20201001001669 NY Practitioner - Obstetrics/Gynecology 7113998766 Reassigns benefits to 3 organizations
I20220216000412 DC Practitioner - Obstetrics/Gynecology 7113998766 Reassigns benefits to 1 organization
I20231221000108 MA Practitioner - Obstetrics/Gynecology 7113998766 Reassigns benefits to 2 organizations
I20250115001598 NJ Practitioner - Obstetrics/Gynecology 7113998766 Reassigns benefits to 1 organization
I20250204001407 VA Practitioner - Obstetrics/Gynecology 7113998766 Reassigns benefits to 1 organization
I20250513000697 RI Practitioner - Obstetrics/Gynecology 7113998766 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Massachusetts - Direct, P.C. CurrentSince Sep 30, 2023 Accepting new patients
Obstetrical-Gynecological Associates of the Southern Tier, P.C. Obstetrics & Gynecology Current Accepting new patients
Upmc Western Maryland Health Services, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2025 Accepting new patients
Union Hospital of Cecil County Obstetrics & Gynecology CurrentSince Dec 15, 2016 Accepting new patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Nov 13, 2024 Accepting new patients
St Agnes Healthcare Inc Obstetrics & Gynecology CurrentSince Oct 29, 2020 Accepting new patients
Maryland Physicians Edge LLC CurrentSince Oct 7, 2023 Accepting new patients
Susquehanna OB-GYN LLC Obstetrics & Gynecology CurrentSince Mar 5, 2024 Accepting new patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
Womens OBGYN PC Obstetrics & Gynecology CurrentSince Oct 7, 2020 Accepting new patients
Lifespan Physician Group, Inc. Obstetrics & Gynecology CurrentSince Jul 1, 2025 Accepting new patients
OBGYN Hospitalist Medical Services of New York, P.C. Obstetrics & Gynecology CurrentSince Jul 29, 2020 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Women2Women Obstetrics and Gynecology, LLC Obstetrics & Gynecology CurrentSince Oct 20, 2020 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Obhg Virginia, LLC Obstetrics & Gynecology CurrentSince Dec 17, 2024 Accepting new patients
Obhg Indiana, PC Obstetrics & Gynecology CurrentSince Oct 5, 2020 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Feb 1, 2020 Accepting new patients
St Agnes Healthcare Inc CurrentSince Oct 29, 2020 Accepting new patients
Maryland Physicians Edge LLC Obstetrics & Gynecology CurrentSince Oct 7, 2023 Accepting new patients
Saint Vincent Physician Services, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Union Hospital of Cecil County CurrentSince Dec 15, 2016 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2025 Accepting new patients
Upper Chesapeake Womens Care, LLC Obstetrics & Gynecology CurrentSince Jan 28, 2023 Accepting new patients
Obhg Maryland PC Obstetrics & Gynecology CurrentSince Jul 21, 2020 Accepting new patients
Obhg Maryland PC Obstetrics & Gynecology CurrentSince Jul 21, 2020 Accepting new patients
Tri-State Physical Therapy Associates, LLC Past Accepting new patients
Obhg Massachusetts PC Obstetrics & Gynecology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
David V. Martini, M.D. P.a. Past Accepting new patients

Locations (25 of 42)

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

510 Upper Chesapeake Dr
Ste 518
Bel Air, MD 21014
Phone (443) 643-4530

520 Upper Chesapeake Dr
Ste 301
Bel Air, MD 21014
Phone (410) 643-4300

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12501 Willowbrook Rd
Fl 3
Cumberland, MD 21502
Phone (240) 964-8515

219 S Washington St
Easton, MD 21601

111 W High St
Ste 204
Elkton, MD 21921
Phone (410) 392-3007

111 W High St
Ste 2
Elkton, MD 21921
Phone (410) 392-6033

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

308 N Union Ave
Hvre de Grace, MD 21078
Phone (410) 939-3121

920 Elkridge Landing Rd
Fl 4
Linthicum Heights, MD 21090
Phone (443) 462-5010

20 Craigtown Rd
Port Deposit, MD 21904
Phone (410) 378-3096

101 Colonial Way
Ste B
Rising Sun, MD 21911
Phone (410) 658-0963

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

Interoperability endpoints

  • Direct secure messaging: skhanjar670061@direct.umm.edu

Organizations & group practices 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1801847736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELLENFIELD ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054541",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FRIENDSHIP ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402209",
            "telephone_number": "401-845-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANJAR",
        "first_name": "SAMIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD19955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "603202800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00216349",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

Verify at the official NPI Registry.