Active NPI
Mohamed Wajeed Khan, M.D. L.L.C.
- Internal Medicine Physician
- Wheaton, MD
National Provider Identifier
1811226012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0032817
- Legal business name
- MOHAMED WAJEED KHAN, M.D. L.L.C.
- Practice address
- 12016 Georgia Ave
Wheaton, MD 20902-2004 - Phone
- (301) 942-2105
- NPI assigned
- Dec 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohamed Wajeed Khan, M.D.
- Title
- Physician
- Phone
- (301) 942-2105
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0032817 | MD | Primary |
Addresses
Primary practice location
12016 Georgia Ave
Wheaton, MD 20902-2004
Mailing address
12016 Georgia Ave
Wheaton, MD 20902-2004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 356121600 | Medicaid | MD |
Other names 1
- M. Wajeed Khan, M.D,
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091231000097 | DC | Part B Supplier - Clinic/Group Practice | 3971644725 |
Receives reassigned benefits from 1 practitioner Practice locations: Wheaton, MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0720582 | M Wajeed Khan PHD MD | Certificate of waiver | Oct 27, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Bowie, MD
- NPI 1922030477
-
- Anatomic Pathology & Clinical Pathology Physician
- Potomac, MD
- NPI 1811081250
-
- Anatomic Pathology & Clinical Pathology Physician
- Baltimore, MD
- NPI 1164638151
-
- Anatomic Pathology & Clinical Pathology Physician
- Warrenton, VA
- NPI 1487618286
-
- Anatomic Pathology & Clinical Pathology Physician
- Washington, DC
- NPI 1295719433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261008000000",
"number": "1811226012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12016 GEORGIA AVE",
"city": "WHEATON",
"state": "MD",
"postal_code": "209022004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12016 GEORGIA AVE",
"city": "WHEATON",
"state": "MD",
"postal_code": "209022004",
"telephone_number": "301-942-2105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHAMED WAJEED KHAN, M.D. L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-17",
"last_updated": "2009-12-17",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "WAJEED",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "301-942-2105",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0032817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "356121600",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "M. Wajeed Khan, M.D,",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wheaton, MD
- Sara Kay Meyers-Clark, RPH
- Millenniume & Rehab
- Marco Antonio Miranda Belandria, DPT
- Mercedes Elieth Miranda-Sheffield, CRNP
- MJM Anesthesia ,LLC
- Mohammad a Khalid MD PC
- Montgomery County Maryland Government
- Montgomery Endoscopy Center
- Montgomery Foot and Ankle Associates
- Montgomery Gastroenterology PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.