AYESHA HASAN KHAN D.O.
NPI 1093155475
Psychiatry & Neurology - Psychiatry in Laurel, MD

Active since June 28, 2013Opted out of Medicare · through Mar 16, 2028
14201 LAUREL PARK DR STE 215, LAUREL, MD 20707(240) 690-2828 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2020, Jan 23, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Ayesha Hasan Khan D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AYESHA HASAN KHAN D.O. (NPI 1093155475) is an individual psychiatry provider in Laurel, Maryland, licensed in Maryland (H0088396) and active in the NPI registry since June 2013. She has opted out of Medicare through March 16, 2028.

NPPES Registry Identity

NPI1093155475
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameAYESHA HASAN KHANCredential: D.O.
Location Address14201 LAUREL PARK DR STE 215Laurel, MD 20707-5260
Mailing Address19328 Erin Tree CtGaithersburg, MD 20879-4973
Sole ProprietorYes
Enumeration DateJune 28, 2013
Last NPPES UpdateDecember 29, 20204 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
NPI 1093155475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in MD · H0088396 Licensed in MI · 5101020462
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
14201 LAUREL PARK DR STE 215, Laurel, MD 20707

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ayesha Hasan Khan D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 16, 2020 through March 16, 2028.

Opt-Out Effective DateMarch 16, 2020
Opt-Out In Effect ThroughMarch 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
14201 LAUREL PARK DR STE 215
LAUREL, MD 20707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ayesha Khan's NPI number?

The NPI number for Ayesha Khan is 1093155475. It was assigned to this individual provider in the NPPES registry on June 28, 2013.

Where is Ayesha Khan located?

Ayesha Khan practices at 14201 Laurel Park Dr Ste 215, Laurel, MD 20707. The listed phone number is (240) 690-2828.

What is Ayesha Khan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ayesha Khan enrolled in Medicare?

No. Ayesha Khan has opted out of Medicare through March 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ayesha Khan was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.