Individual provider Active NPI

Anwaar Ahmed Khan, MD

  • Gastroenterology Physician
  • Raleigh, NC
National Provider Identifier
1851683395
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101272034 Issued in VA
Practice address
4420 Lake Boone TRL
Raleigh, NC 27607-7505
Phone
(919) 784-5050
Fax
(919) 784-1487
NPI assigned
May 3, 2011
Reactivated
Nov 19, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0101272034 VA Primary
Gastroenterology Physician 207RG0100X 24082 NC
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 24082 NC

Addresses

Primary practice location

4420 Lake Boone TRL
Raleigh, NC 27607-7505

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490
Phone (984) 215-4111

Other practice location 1

3024 New Bern Ave
Raleigh, NC 27610-1247
Phone (919) 350-5318

Other practice location 2

2609 Medical Office Pl
Goldsboro, NC 27534-9428
Phone (919) 734-1779

Other practice location 3

375 N Serenity Hill Cir
Chapel Hill, NC 27516-0466
Phone (716) 378-2815

Other practice location 4

44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000

Other identifiers 1

IdentifierTypeStateIssuer
1851683395MedicaidNC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address akhan645896@direct.UNC.nchie.net Direct
Direct Messaging Address akhan645896@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, NC, DC, VA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20140308000057 NE Practitioner - Gastroenterology 9133390347 Reassigns benefits to 1 organization
I20190611002910 NC Practitioner - GastroenterologyPractitioner - Internal Medicine 9133390347 Reassigns benefits to 4 organizations
I20220201000014 DC Practitioner - GastroenterologyPractitioner - Internal Medicine 9133390347 Reassigns benefits to 1 organization
I20220201000138 VA Practitioner - GastroenterologyPractitioner - Internal Medicine 9133390347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians
NHCS Physicians IncGroup PAC ID 7719209154, 97 clinicians
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-6503

2609 Medical Office PL
Goldsboro, NC 27534-9428
Phone (919) 734-1779

3219 Central Ave
Suite 200
Kearney, NE 68847-2958
Phone (308) 865-2370

401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24082NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jan 1, 2022 Accepting new patients
Wakemed Specialists Group, LLC Gastroenterology Current Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2022 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
NHCS Physicians Inc CurrentSince Jul 6, 2021 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2022 Accepting new patients
Vidant Medical Group LLC CurrentSince Jun 1, 2020 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Unc Physicians Network LLC CurrentSince Nov 30, 2025 Accepting new patients

Locations

110 Kildaire Park Dr
Cary, NC 27518
Phone (919) 235-0616

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2609 Medical Office Pl
Goldsboro, NC 27534
Phone (919) 734-1779

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

2920 Highwoods Blvd
Raleigh, NC 27604

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380

3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Interoperability endpoints

  • Direct secure messaging: akhan645896@direct.unc.nchie.net
  • Direct secure messaging: akhan253468@directhisp.wakemed.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1851683395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490",
            "telephone_number": "984-215-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 LAKE BOONE TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077505",
            "telephone_number": "919-784-5050",
            "fax_number": "919-784-1487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3024 New Bern Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101247",
            "country_code": "US",
            "telephone_number": "919-350-5318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2609 Medical Office Pl",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275349428",
            "country_code": "US",
            "telephone_number": "919-734-1779",
            "fax_number": "919-734-7570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 N Serenity Hill Cir",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275160466",
            "country_code": "US",
            "telephone_number": "716-378-2815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44045 Riverside Pkwy",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201765101",
            "country_code": "US",
            "telephone_number": "703-858-6000",
            "fax_number": "703-858-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ANWAAR",
        "middle_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "deactivation_date": "2025-10-23",
        "reactivation_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101272034",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "24082",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NC",
            "license": "24082",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851683395",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akhan645896@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4420 Lake Boone Trl",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akhan645896@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2609 Medical Office Pl",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.