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DR. SAMALA M KHAN O.D.
NPI 1235269853
Optometrist in Gaithersburg, MD

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment
18310 MONTGOMERY VILLAGE AVE STE 140, GAITHERSBURG, MD 20879(301) 869-4070(301) 869-0397 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samala M Khan O.d. NPPES

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

DR. SAMALA M KHAN O.D. (NPI 1235269853) is an individual optometrist in Gaithersburg, Maryland, licensed in Maryland (TA2243) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2003).

NPPES Registry Identity

NPI1235269853
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SAMALA M KHANCredential: O.D.
Location Address18310 MONTGOMERY VILLAGE AVE STE 140Gaithersburg, MD 20879-3556
Mailing Address18310 Montgomery Village Ave Ste 140Gaithersburg, MD 20879-3556 · (301) 869-4070 · Fax (301) 869-0397
Phone(301) 869-4070
Fax(301) 869-0397
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2003
Enumeration DateMarch 6, 2007
Last NPPES UpdateSeptember 30, 2022
NPPES CertifiedSeptember 30, 2022
✔ NPI 1235269853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MD · TA2243
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
18310 MONTGOMERY VILLAGE AVE STE 140, Gaithersburg, MD 20879
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Other Identifiers 1

Other2B2375MD · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samala M Khan O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42204166
PECOS Enrollment IDI20040429000490
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
17 services17 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20879 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. ADAM PAUL RUBIN O.D.
Optometrist
18310 MONTGOMERY VILLAGE AVE STE 140
GAITHERSBURG, MD 20879
Montgomery County (301) 869-4070
DR. GABRIELA MILLER O.D.
Optometrist
18310 MONTGOMERY VILLAGE AVE STE 140
GAITHERSBURG, MD 20879
Montgomery County (301) 869-4070
MONTGOMERY VILLAGE EYE CENTER INC
Optometrist
18310 MONTGOMERY VILLAGE AVE STE 140
GAITHERSBURG, MD 20879
Montgomery County (301) 698-4070
AEG MARYLAND PROFESSIONAL LLC
Optometrist
18310 MONTGOMERY VILLAGE AVE STE 140
GAITHERSBURG, MD 20879
Montgomery County (301) 869-4070

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 Samala Khan's NPI number?

The NPI number for Samala Khan is 1235269853. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Samala Khan located?

Samala Khan practices at 18310 Montgomery Village Ave Ste 140, Gaithersburg, MD 20879. The listed phone number is (301) 869-4070.

What is Samala Khan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Samala Khan enrolled in Medicare?

Yes. Samala Khan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samala Khan accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Samala Khan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samala Khan was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.