Individual provider Active NPI

Adnan R Khan, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenbelt, MD
National Provider Identifier
1942469770
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
D76025 Issued in MD
Practice address
6305 Ivy LN
Suite 100
Greenbelt, MD 20770-1465
Phone
(844) 522-4263
Fax
(301) 363-1099
NPI assigned
Jun 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A120050 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X D76025 MD Primary

Addresses

Primary practice location

6305 Ivy LN
Suite 100
Greenbelt, MD 20770-1465

Mailing address

6305 Ivy LN
Suite 100
Greenbelt, MD 20770-1465
Phone (844) 522-4263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20130909000275 MD Practitioner - Pathology 1254574429 Reassigns benefits to 5 organizations
I20150616000270 DC Practitioner - Pathology 1254574429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph C. Lin, M.D. LLCGroup PAC ID 3072666973, 2 clinicians

Practice addresses (Care Compare)

8903 Harford Rd
Baltimore, MD 21234-4111
Phone (410) 661-9133

Merit-based Incentive Payment System (MIPS)

Final score
7.5 of 100Reported as individual
Quality
15
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120050CAMDAnatomic Pathology & Clinical Pathology Physician
D76025MDMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midatlantic Urology Associates LLC CurrentSince May 2, 2015 Accepting new patients
Premier Physician Partners PC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Chesapeake Urology Associates LLC CurrentSince Jun 1, 2018 Accepting new patients
Chesapeake Urology Associates, LLC CurrentSince Jun 1, 2018 Accepting new patients
Chesapeake Digestive Associates, PC CurrentSince Apr 3, 2023 Accepting new patients
Digestive Disease Associates, LLC Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2022 Accepting new patients
Integrated Cellular and Molecular Diagnostics LLC CurrentSince Jan 4, 2014 Accepting new patients
Harford Gastroenterology Associates PA CurrentSince Apr 20, 2015 Accepting new patients
Jahangir Khan MD Past Accepting new patients

Locations

100 Walter Ward Blvd
Ste 100
Abingdon, MD 21009
Phone (443) 347-4700

621 Ridgely Ave
Ste 201
Annapolis, MD 21401
Phone (410) 224-4887

12200 Kiln Ct
Ste A
Beltsville, MD 20705
Phone (410) 328-5514

10710 Charter Dr
Ste 110
Columbia, MD 21044
Phone (410) 992-9797

7500 Greenway Center Dr
Fl 8
Greenbelt, MD 20770
Phone (301) 477-2000

7500 Greenway Center Dr
Ste A
Greenbelt, MD 20770
Phone (301) 474-3636

6305 Ivy Ln
Ste 100
Greenbelt, MD 20770
Phone (302) 677-0000

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

3801 International Dr
Ste 310
Silver Spring, MD 20906
Phone (301) 598-9171

1220C E Joppa Rd
Ste 508
Towson, MD 21286
Phone (410) 296-4415

7505 Osler Dr
Ste 502
Towson, MD 21204
Phone (410) 296-1464

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1942469770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 IVY LN",
            "address_2": "SUITE 100",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701465",
            "telephone_number": "844-522-4263",
            "fax_number": "301-363-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 IVY LN",
            "address_2": "SUITE 100",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701465",
            "telephone_number": "844-522-4263",
            "fax_number": "301-363-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ADNAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A120050",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MD",
            "license": "D76025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.