Individual provider Active NPI

Camille Y Khawand, M.D.

  • Infectious Disease Physician
  • Salisbury, MD
National Provider Identifier
1922088566
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D0053452 Issued in MD
Practice address
105 Pine Bluff Rd
Suite 7a
Salisbury, MD 21801-7160
Phone
(410) 749-8370
Fax
(410) 749-8910
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X D0053452 MD Primary

Addresses

Primary practice location

105 Pine Bluff Rd
Suite 7a
Salisbury, MD 21801-7160

Mailing address

105 Pine Bluff Rd
Suite 7a
Salisbury, MD 21801-7160
Phone (410) 749-8370

Other identifiers 6

IdentifierTypeStateIssuer
0001142701MedicaidDE
620958OtherVABCBS OF VIRGINIA
010116783MedicaidVA
G2250001OtherMDBCBS OF DC
003801600MedicaidMD
254QCAOtherMDBCBS MD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060317000112 MD Practitioner - Infectious Disease 6709808470

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.46 of 100Reported as individual
Quality
100
Improvement activities
0
Cost
68.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0053452MDMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1922088566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PINE BLUFF RD",
            "address_2": "SUITE 7A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017160",
            "telephone_number": "410-749-8370",
            "fax_number": "410-749-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PINE BLUFF RD",
            "address_2": "SUITE 7A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017160",
            "telephone_number": "410-749-8370",
            "fax_number": "410-749-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAWAND",
        "first_name": "CAMILLE",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0053452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001142701",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF VIRGINIA",
            "identifier": "620958",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010116783",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DC",
            "identifier": "G2250001",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003801600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD",
            "identifier": "254QCA",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.