Individual provider Active NPI

Faraaz Khan, MD

  • Ophthalmology Physician
  • Holly Springs, NC
National Provider Identifier
1861811002
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2019-00461 Issued in ND
Practice address
416 Ivy Arbor Way
Holly Springs, NC 27540-4812
Phone
(704) 560-6520
NPI assigned
Apr 15, 2014
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 2019-00461 NC
Cornea and External Diseases Specialist Physician 207WX0120X 2019-00461 NC
Ophthalmology Physician 207W00000X 2019-00461 ND Primary
Student in an Organized Health Care Education/Training Program 390200000X VA

Addresses

Primary practice location

416 Ivy Arbor Way
Holly Springs, NC 27540-4812

Mailing address

PO Box 269
Holly Springs, NC 27540-0269
Phone (919) 689-8920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190802001361 NC Practitioner - Ophthalmology 7113274606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 S McPherson Church Rd
Suite 106
Fayetteville, NC 28303-4913
Phone (919) 689-8920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery169

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-00461NDMDOphthalmology Physician
2019-00461NCMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Springs Eye and Laser PLLC Single Specialty CurrentSince Mar 25, 2022 Accepting new patients
NC Eye Surgeons PLLC Single Specialty CurrentSince Apr 24, 2022 Accepting new patients

Locations

201 S McPherson Church Rd
Ste 106
Fayetteville, NC 28303
Phone (910) 484-7139

242 S Main St
Ste 110
Holly Springs, NC 27540
Phone (919) 689-8920

Organizations & group practices 2

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 2

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1861811002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275400269",
            "telephone_number": "919-689-8920",
            "fax_number": "919-689-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 IVY ARBOR WAY",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275404812",
            "telephone_number": "704-560-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FARAAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2022-06-08",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2019-00461",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "NC",
            "license": "2019-00461",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ND",
            "license": "2019-00461",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

Verify at the official NPI Registry.