Individual provider Active NPI

Monsurul H Khan, MD

  • Internal Medicine Physician
  • Chantilly, VA
National Provider Identifier
1831185586
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101236230 Issued in VA
Practice address
3918 Centreville Rd
Chantilly, VA 20151-3224
Phone
(703) 657-6925
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 0101236230 VA
Internal Medicine Physician 207R00000X 0101236230 VA Primary

Addresses

Primary practice location

3918 Centreville Rd
Chantilly, VA 20151-3224

Mailing address

556 Garrisonville Rd
Suite 204
Stafford, VA 22554-7826
Phone (540) 720-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041203000486 VA Practitioner - Internal Medicine 1850380213 Reassigns benefits to 2 organizations
I20180117001365 DC Practitioner - Internal Medicine 1850380213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2199 Old Bridge Rd
Woodbridge, VA 22192-2911
Phone (703) 357-9707

556 Garrisonville Rd
Stafford, VA 22554-7819
Phone (540) 720-5500

601 Potomac Station Dr
Leesburg, VA 20176-1816
Phone (703) 840-1396

6311 Richmond Hwy
Alexandria, VA 22306-6410
Phone (703) 647-6087

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC CurrentSince Nov 21, 2017 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Nov 21, 2017 Accepting new patients
Asclepeion Primary Care, Inc CurrentSince May 25, 2012 Accepting new patients
Associates in Internal Medicine Inc Internal Medicine Past Accepting new patients
Ridgeline Physician Services, PLC Past Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

3918 Centreville Rd
Chantilly, VA 20151
Phone (703) 657-6925

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

556 Garrisonville Rd
Ste 204
Stafford, VA 22554
Phone (540) 720-5500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16609/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HAJFDD/Endpoint/HAJFDD

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1831185586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 GARRISONVILLE RD",
            "address_2": "SUITE 204",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547826",
            "telephone_number": "540-720-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 CENTREVILLE RD",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513224",
            "telephone_number": "703-657-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MONSURUL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101236230",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101236230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

Verify at the official NPI Registry.