Active NPI
Saeeduddin Khan, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
National Provider Identifier
1912931874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- D0061272
- Practice address
- 3901 The Alameda
Baltimore, MD 21218 - Phone
- (410) 605-7000
- Fax
- (410) 605-7598
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | D0061272 | MD | Primary |
Addresses
Primary practice location
3901 The Alameda
Baltimore, MD 21218
Mailing address
3900 Loch Raven Blvd
Baltimore, MD 21218
Phone (410) 642-2411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KL90M881 | Other | MD | PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210115001153 | MD | Order and Referring Only - Geriatric Medicine | 8820017221 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0061272 | MD | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601769600000",
"number": "1912931874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 LOCH RAVEN BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21218",
"telephone_number": "410-642-2411",
"fax_number": "410-605-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 THE ALAMEDA",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21218",
"telephone_number": "410-605-7000",
"fax_number": "410-605-7598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "SAEEDUDDIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2020-10-04",
"certification_date": "2020-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MD",
"license": "D0061272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "KL90M881",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.