Individual provider Active NPI

Fuad Khan, MD

  • Psychiatry Physician
  • Dover, NH
National Provider Identifier
1891891727
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
81927 Issued in MA
Practice address
15 Old Rollinsford Rd
Dover, NH 03820-2868
Phone
(603) 742-9200
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 18485 NH
Psychiatry Physician 2084P0800X 81927 MA Primary

Addresses

Primary practice location

15 Old Rollinsford Rd
Dover, NH 03820-2868

Mailing address

789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-9200

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 590-8761

Other practice location 2

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-9550

Other names 1

  • Muhammad Fuad Khan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20091130000362 MA Practitioner - Psychiatry 7214076546 Reassigns benefits to 3 organizations
I20171211002250 NH Practitioner - Psychiatry 7214076546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wentworth Douglass Physician CorporationGroup PAC ID 5496749848, 429 clinicians
State of New HampshireGroup PAC ID 3870530579, 77 clinicians
Massachusetts General Physicians Organization IncGroup PAC ID 2466365820, 3,494 clinicians

Practice addresses (Care Compare)

15 Old Rollinsford Rd
Suite 302
Dover, NH 03820-2819
Phone (603) 742-9200

36 Clinton St
Concord, NH 03301-2359
Phone (603) 271-5300

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81927MAMDPsychiatry Physician
18485NHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts General Physicians Organization Inc Psychiatry CurrentSince Jul 31, 2024 Accepting new patients
State of New Hampshire CurrentSince Aug 12, 2024 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Nov 27, 2017 Accepting new patients
The General Hospital Corporation CurrentSince Jul 31, 2024 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Jan 15, 2026 Accepting new patients
State of New Hampshire CurrentSince Aug 12, 2024 Accepting new patients
Mass General Brigham Community Physicians Inc. CurrentSince Jan 15, 2026 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Nov 27, 2017 Accepting new patients
General Hospital Corp Current Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Psychiatry Past Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

62 13th St
Charlestown, MA 02129
Phone (617) 724-4260

600 Primrose St
Haverhill, MA 01830
Phone (978) 373-4400

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

36 Clinton St
Concord, NH 03301
Phone (603) 271-5075

15 Rollinsford Rd
Dover, NH 03820
Phone (603) 742-3664

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

789 Central Ave
#1
Dover, NH 03820
Phone (603) 609-6260

15 Old Rollinsford Rd
Ste 302
Dover, NH 03820
Phone 6036096690 ext. 7976

121 Corporate Dr
Bldg C
Portsmouth, NH 03801
Phone (603) 740-8787

121 Corporate Dr
Ste 200
Portsmouth, NH 03801
Phone (603) 610-8075

Interoperability endpoints

  • Direct secure messaging: khan.fuad.mgh@direct.partners.masshiway.net

Organizations & group practices 10

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 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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1891891727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-742-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OLD ROLLINSFORD RD",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202868",
            "telephone_number": "603-742-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-590-8761",
            "fax_number": "214-648-4947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "617-726-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FUAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "18485",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "81927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUHAMMAD",
            "last_name": "KHAN",
            "middle_name": "FUAD",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.