Organization Active NPI

NS Family Medical Center Inc.

  • Internal Medicine Physician
  • Stafford, VA
National Provider Identifier
1861555146
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101049572 Issued in VA
Legal business name
NS FAMILY MEDICAL CENTER INC.
Practice address
237 Garrisonville Rd
#101
Stafford, VA 22554-1553
Phone
(540) 659-0550
Fax
(540) 720-2386
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Enamul Hoq Kahn, MDNPI 1093908469
Title
President
Phone
(540) 659-0550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101049572 VA Primary

Addresses

Primary practice location

237 Garrisonville Rd
#101
Stafford, VA 22554-1553

Mailing address

237 Garrisonville Rd
#101
Stafford, VA 22554-1553
Phone (540) 659-0550

Other identifiers 3

IdentifierTypeStateIssuer
104215OtherVAANTHEM BCBS
5135099OtherVAAETNA
26470001OtherVACAREFIRST

Other names 1

  • Mohammed Khan MD PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070920000757 VA Part B Supplier - Clinic/Group Practice 9133213184 Receives reassigned benefits from 1 practitioner
Practice locations: Fredericksburg, VA; Stafford, VA

National Provider Directory

National Provider Directory

Locations

237 Garrisonville Rd
Ste 101
Stafford, VA 22554
Phone (540) 659-0550

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1861555146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 GARRISONVILLE RD",
            "address_2": "#101",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541553",
            "telephone_number": "540-659-0550",
            "fax_number": "540-720-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 GARRISONVILLE RD",
            "address_2": "#101",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541553",
            "telephone_number": "540-659-0550",
            "fax_number": "540-720-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NS FAMILY MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "ENAMUL",
        "authorized_official_middle_name": "HOQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-659-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101049572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "104215",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5135099",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "26470001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mohammed Khan MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.