Active NPI
Fareeha Khan, MD
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- D98208
- Practice address
- 4940 Eastern Ave
Baltimore, MD 21224-2735 - Phone
- (410) 550-0470
- Fax
- (410) 550-0184
- NPI assigned
- Apr 5, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2017-01895 | NC | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | D98208 | MD | Primary |
Addresses
Primary practice location
4940 Eastern Ave
Baltimore, MD 21224-2735
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423
Other practice location 1
2001 Vail Ave
Ste 400
Charlotte, NC 28207-1248
Phone (704) 304-7000
Other practice location 2
101 E Wt Harris Blvd
Building 1000 Ste 1110
Charlotte, NC 28262-3485
Phone (704) 863-9850
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171115001100 | NC | Practitioner - Family Practice | 2163743378 | Reassigns benefits to 2 organizations |
| I20231019002132 | MD | Practitioner - Geriatric Medicine | 2163743378 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100
5501 Hopkins Bayview Cir
Baltimore, MD 21224-6821
Phone (410) 550-0545
5505 Hopkins Bayview Cir
Baltimore, MD 21224-6821
Phone (410) 550-0756
6201 Greenleigh Ave
Middle River, MD 21220-2004
Hospital & facility affiliations
- Johns Hopkins Bayview Medical Center
- Johns Hopkins Hospital, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Geriatric Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Carolinas Medical Center | Family Medicine | Current | Accepting new patients |
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Family Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients |
Locations
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800
4940 Eastern Ave
Baltimore, MD 21224
5505 Hopkins Bayview Cir
Baltimore, MD 21224
Phone (410) 550-0756
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
4525 Cameron Valley Pkwy
Ste 3100
Charlotte, NC 28211
Phone (704) 302-8375
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
2001 Vail Ave
Ste 400
Charlotte, NC 28207
Phone (704) 304-7000
101 E Wt Harris Blvd
Ste 1110
Charlotte, NC 28262
Phone (704) 339-1073
Interoperability endpoints
- ambulatory@direct.carolinashealthcare.org
- fkhan1152116@direct.hopkinsmedicine.org
Organizations & group practices 12
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
NC
-
- Clinical Social Worker
- Columbia, MD
- NPI 1205647484
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
-
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1104816172
Geriatric Medicine
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
- Clinical Social Worker
- Charlotte, NC
- NPI 1417267428
Family Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
Hospital
-
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1982960852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 EASTERN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212242735",
"telephone_number": "410-550-0470",
"fax_number": "410-550-0184"
}
],
"practiceLocations": [
{
"address_1": "2001 Vail Ave",
"address_2": "Ste 400",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282071248",
"country_code": "US",
"telephone_number": "704-304-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 E Wt Harris Blvd",
"address_2": "Building 1000 Ste 1110",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282623485",
"country_code": "US",
"telephone_number": "704-863-9850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "FAREEHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-05",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2017-01895",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MD",
"license": "D98208",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ambulatory@direct.carolinashealthcare.org",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "101 E Wt Harris Blvd",
"address_2": "Building 1000, Ste 1110",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282623485",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.