Individual provider Active NPI

Naureen Khan

  • Physician Assistant
  • Hyattsville, MD
National Provider Identifier
1841776531
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0006767 Issued in MD
Practice address
1051 Brightseat Rd
Hyattsville, MD 20785-3738
Phone
(872) 231-3162
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1952590630 MD
Physician Assistant 363A00000X C0006767 MD Primary

Addresses

Primary practice location

1051 Brightseat Rd
Hyattsville, MD 20785-3738

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180912000833 MD Practitioner - Physician Assistant 8325398340 Reassigns benefits to 3 organizations
I20190530000538 DC Practitioner - Physician Assistant 8325398340 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1952590630MDMDInternal Medicine Physician
C0006767MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Jul 1, 2020 Accepting new patients
Genesis Eldercare Physician Services LLC Internal Medicine CurrentSince Apr 30, 2019 Accepting new patients

Locations

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

1525 N Rolling Rd
Catonsville, MD 21228
Phone (410) 402-1200

1 Price Dr
#R
Elkton, MD 21921

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

7120 Braddock Rd
Annandale, VA 22003
Phone (703) 256-9770

Organizations & group practices 6

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": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1841776531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 BRIGHTSEAT RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207853738",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NAUREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "1952590630",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.