Active NPI
Fahad Saeed Khan
- Neurology Physician
- Clinton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- H0101075
- Practice address
- 10401 Hospital Dr Ste 102
Clinton, MD 20735-3150 - Phone
- (301) 877-4540
- Fax
- (301) 856-3470
- NPI assigned
- Mar 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | H0101075 | MD | Primary |
Addresses
Primary practice location
10401 Hospital Dr Ste 102
Clinton, MD 20735-3150
Mailing address
10401 Hospital Dr Ste 102
Clinton, MD 20735-3150
Phone (301) 877-4540
Other practice location 1
1505 SW Archer Rd
Gainesville, FL 32608-1134
Phone (352) 273-5550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000
4660 Wilkens Ave
Suite 100
Baltimore, MD 21229-4899
Phone (410) 247-0782
Hospital & facility affiliations
- Medstar Southern Maryland Hospital Center
- Medstar Franklin Square Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.97 of 100
- Quality
- 72.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0101075 | MD | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| MGMC, LLC | Current | Accepting new patients |
Locations
1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
621 Ridgely Ave
Ste 201
Annapolis, MD 21401
Phone (410) 224-4887
4660 Wilkens Ave
Ste 100
Baltimore, MD 21229
Phone (410) 247-0782
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
10401 Hospital Dr
Ste 102
Clinton, MD 20735
Phone (301) 856-0050
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
23511 Hollywood Rd
Ste 2
Leonardtown, MD 20650
Phone (301) 997-0611
Organizations & group practices 5
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.
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- Anatomic Pathology Physician
- Washington, DC
- NPI 1578297503
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1184712085
-
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1922569755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10401 HOSPITAL DR STE 102",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353150",
"telephone_number": "301-877-4540",
"fax_number": "301-856-3470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10401 HOSPITAL DR STE 102",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353150",
"telephone_number": "301-877-4540",
"fax_number": "301-856-3470"
}
],
"practiceLocations": [
{
"address_1": "1505 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326081134",
"country_code": "US",
"telephone_number": "352-273-5550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "FAHAD",
"middle_name": "SAEED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-26",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "H0101075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.