Individual provider Active NPI

Agha Shahid Khan, MD

  • Specialist
  • Baltimore, MD
National Provider Identifier
1952373433
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D29462 Issued in MD
Practice address
2411 W Belvedere Ave
Suite 402
Baltimore, MD 21215-5228
Phone
(410) 601-8314
Fax
(410) 601-9974
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D29462 MD Primary

Addresses

Primary practice location

2411 W Belvedere Ave
Suite 402
Baltimore, MD 21215-5228

Mailing address

2411 W Belvedere Ave
Suite 402
Baltimore, MD 21215-5228
Phone (410) 601-8314

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
I20031210001137 MD Practitioner - Neurosurgery 8921904814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2411 W Belvedere Ave
Suite 402
Baltimore, MD 21215-5217
Phone (410) 601-8314

2411 W Belvedere Ave
Suite 402
Baltimore, MD 21215-5231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D29462MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Neurosurgical Associates Specialist CurrentSince Jan 1, 2003 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Ideal Pain Management, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

821 N Eutaw St
Ste 310
Baltimore, MD 21201
Phone (410) 462-5790

827 Linden Ave
Fl 1
Baltimore, MD 21201
Phone (410) 225-8780

2411 W Belvedere Ave
Ste 406
Baltimore, MD 21215
Phone (410) 601-2097

2411 W Belvedere Ave
Ste 402
Baltimore, MD 21215
Phone (410) 601-8314

2435 W Belvedere Ave
Ste 43
Baltimore, MD 21215
Phone (410) 578-8691

2700 Quarry Lake Dr
Ste 160
Baltimore, MD 21209
Phone (410) 580-0087

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

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.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1952373433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE",
            "address_2": "SUITE 402",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155228",
            "telephone_number": "410-601-8314",
            "fax_number": "410-601-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE",
            "address_2": "SUITE 402",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155228",
            "telephone_number": "410-601-8314",
            "fax_number": "410-601-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AGHA",
        "middle_name": "SHAHID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D29462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.