Individual provider Active NPI

Abdur R Khan, MD

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1992766851
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101042941 Issued in VA
Practice address
4221 Pleasant Valley Road
Suite 114
Virginia Beach, VA 23464-8519
Phone
(757) 495-7420
Fax
(757) 495-3917
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101042941 VA Primary

Addresses

Primary practice location

4221 Pleasant Valley Road
Suite 114
Virginia Beach, VA 23464-8519

Mailing address

4221 Pleasant Valley Road
Suite 114
Virginia Beach, VA 23464-8519
Phone (757) 495-7420

Other identifiers 1

IdentifierTypeStateIssuer
330828OtherVABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20111109000627 VA Practitioner - Family Practice 8022281989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4221 Pleasant Valley Rd
Suite 114
Virginia Beach, VA 23464-8519
Phone (757) 495-7420

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasant Valley Medical Center, Inc Family Medicine CurrentSince Jan 1, 2000 Accepting new patients

Locations

4221 Pleasant Valley Rd
Ste 114
Virginia Beach, VA 23464
Phone (757) 495-7420

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1992766851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 PLEASANT VALLEY ROAD",
            "address_2": "SUITE 114",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648519",
            "telephone_number": "757-495-7420",
            "fax_number": "757-495-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 PLEASANT VALLEY ROAD",
            "address_2": "SUITE 114",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648519",
            "telephone_number": "757-495-7420",
            "fax_number": "757-495-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABDUR",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101042941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "330828",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.