Active NPI
Camille Y Khawand, M.D.
- Infectious Disease Physician
- Salisbury, MD
National Provider Identifier
1922088566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- D0053452
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001142701 | Medicaid | DE | |
| 620958 | Other | VA | BCBS OF VIRGINIA |
| 010116783 | Medicaid | VA | |
| G2250001 | Other | MD | BCBS OF DC |
| 003801600 | Medicaid | MD | |
| 254QCA | Other | MD | BCBS 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060317000112 | MD | Practitioner - Infectious Disease | 6709808470 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 70.46 of 100
- Quality
- 100
- Improvement activities
- 0
- Cost
- 68.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0053452 | MD | MD | Infectious 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.