Individual provider Active NPI

Mohib Khan, M.D.

  • Ophthalmology Physician
  • Lansdowne, VA
National Provider Identifier
1831621440
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101274597 Issued in VA
Practice address
19441 Golf Vista PLZ Ste 320
Lansdowne, VA 20176-8272
Phone
(703) 858-9800
NPI assigned
Apr 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD473121 PA
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 0101274597 VA Primary

Addresses

Primary practice location

19441 Golf Vista PLZ Ste 320
Lansdowne, VA 20176-8272

Mailing address

19441 Golf Vista PLZ Ste 320
Lansdowne, VA 20176-8272
Phone (705) 858-9800

Other practice location 1

2300 I St NW # 718
Washington, DC 20052
Phone (202) 994-5351

Other practice location 2

51 N 39TH St
Ste 515
Philadelphia, PA 19104-2640
Phone (202) 741-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220714000182 VA Practitioner - Ophthalmology 5294144598 Reassigns benefits to 1 organization
I20220719000378 DC Practitioner - Ophthalmology 5294144598 Reassigns benefits to 2 organizations
I20250321001680 MD Practitioner - Ophthalmology 5294144598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Eye Center PAGroup PAC ID 4789570722, 6 clinicians

Practice addresses (Care Compare)

3402 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-2750

8860 Columbia 100 Pkwy
Columbia, MD 21045-2286
Phone (410) 997-9900

Merit-based Incentive Payment System (MIPS)

Final score
89.38 of 100Reported as group
Quality
100
Promoting interoperability
88
Improvement activities
40
Cost
74.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD473121PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Eye Center P.C. Single Specialty CurrentSince Aug 15, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2021 Accepting new patients
Virginia Eye Center, PC Single Specialty CurrentSince Aug 15, 2022 Accepting new patients
University of Penn-Medical Group Single Specialty Current Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2021 Accepting new patients

Locations

19441 Golf Vista Plz
Ste 320
Leesburg, VA 20176
Phone (703) 858-9800

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

Interoperability endpoints

  • Direct secure messaging: mkhan@virginiaeye.emadirect.md

Organizations & group practices 7

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": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1831621440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19441 GOLF VISTA PLZ STE 320",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768272",
            "telephone_number": "705-858-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19441 GOLF VISTA PLZ STE 320",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768272",
            "telephone_number": "703-858-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 I St NW # 718",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20052",
            "country_code": "US",
            "telephone_number": "202-994-5351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 N 39TH ST",
            "address_2": "STE 515",
            "address_purpose": "LOCATION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "country_code": "US",
            "telephone_number": "202-741-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHIB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-02",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD473121",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101274597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

Verify at the official NPI Registry.