Individual provider Active NPI

Mohammad Saud Khan, MD

  • Interventional Cardiology Physician
  • Colonial Heights, VA
National Provider Identifier
1891170825
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
0101285403 Issued in VA
Practice address
445 Charles H Dimmock Pkwy Ste 100
Colonial Heights, VA 23834-2990
Phone
(804) 520-1764
NPI assigned
Jul 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD16261 RI
Cardiovascular Disease Physician 207RC0000X 0101285403 VA
Interventional Cardiology Physician 207RI0011X 0101285403 VA Primary
Internal Medicine Physician 207R00000X 74405 AZ

Addresses

Primary practice location

445 Charles H Dimmock Pkwy Ste 100
Colonial Heights, VA 23834-2990

Mailing address

445 Charles H Dimmock Pkwy Ste 100
Colonial Heights, VA 23834-2990
Phone (804) 520-1764

Other practice location 1

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 757-2101

Other practice location 2

8006 Discovery Dr Ste 303
Henrico, VA 23229-8600
Phone (804) 554-0102

Other practice location 3

5330 South St
Fort Mohave, AZ 86426
Phone (928) 788-2273

Other practice location 4

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-4489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240914000695 AZ Practitioner - Internal Medicine 2769787498 Reassigns benefits to 1 organization
I20250605000100 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 2769787498 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James River Cardiology, LLCGroup PAC ID 0941499594, 49 clinicians

Practice addresses (Care Compare)

445 Charles H Dimmock Pkwy
Suite 100
Colonial Heights, VA 23834-2990
Phone (804) 520-1764

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020
  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
  • Augusta Health Hospital, Fishersville, VA, CCN 490018
  • Bon Secours Southampton Memorial Hospital Hospital, Franklin, VA, CCN 490092

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74405AZMDInternal Medicine Physician
0101285403VAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James River Cardiology, LLC Cardiovascular Disease CurrentSince Jul 1, 2025 Accepting new patients
Augusta Health Care, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Aligned Interventional Center Interventional Cardiology CurrentSince Jul 1, 2025 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Aug 3, 2024 Accepting new patients
Augusta Medical Group CurrentSince Jun 23, 2025 Accepting new patients
Augusta Health Care, Inc CurrentSince Jun 23, 2025 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Aug 3, 2024 Accepting new patients
Augusta Medical Group CurrentSince Jun 23, 2025 Accepting new patients
Paladin Dermatology LLC Past Accepting new patients

Locations

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

7300 Ashlake Pkwy
Ste 100
Chesterfield, VA 23832
Phone (804) 256-8282

445 Charles H Dimmock Pkwy
Ste 100
Colonial Hgts, VA 23834

78 Medical Center Dr
Fl 3
Fishersville, VA 22939

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

8006 Discovery Dr
Ste 303
Henrico, VA 23229
Phone (804) 554-0102

8006 Discovery Dr
Ste 300
Richmond, VA 23229
Phone (804) 495-2299

Interoperability endpoints

  • Direct secure messaging: mohammad.khan.1@14718.direct.athenahealth.com
  • Direct secure messaging: dey3519@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
  • Direct secure messaging: mohammad.saud.khan.1@31267.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1891170825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CHARLES H DIMMOCK PKWY STE 100",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342990",
            "telephone_number": "804-520-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CHARLES H DIMMOCK PKWY STE 100",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342990",
            "telephone_number": "804-520-1764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3269 N Stockton Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864093619",
            "country_code": "US",
            "telephone_number": "928-757-2101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8006 Discovery Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232298600",
            "country_code": "US",
            "telephone_number": "804-554-0102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5330 South St",
            "address_purpose": "LOCATION",
            "city": "Fort Mohave",
            "state": "AZ",
            "postal_code": "86426",
            "country_code": "US",
            "telephone_number": "928-788-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "164 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062853",
            "country_code": "US",
            "telephone_number": "401-793-4489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD SAUD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD16261",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101285403",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101285403",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "74405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.