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NASIMA KHATOON M.D.
NPI 1366425522
Internal Medicine - Hematology & Oncology in Lawrence, MA

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
86.28/100
CMS Quality Rating
25 MARSTON ST, SUITE 301, LAWRENCE, MA 01841(978) 946-8230(978) 946-8226 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2019, Mar 20, 2017 (2 updates tracked since 2017).

About Nasima Khatoon M.d. NPPES

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

NASIMA KHATOON M.D. (NPI 1366425522) is an individual hematology & oncology provider in Lawrence, Massachusetts, licensed in Massachusetts (78689) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1366425522
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameNASIMA KHATOONCredential: M.D.
Location Address25 MARSTON ST, SUITE 301Lawrence, MA 01841-2355
Mailing Address25 Marston StLawrence, MA 01841-2355 · (781) 682-4066 · Fax (781) 337-9619
Phone(978) 946-8230
Fax(978) 946-8226
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateNovember 22, 2005
Last NPPES UpdateJune 20, 20192 updates tracked since enumeration
✔ NPI 1366425522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MA · 78689
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
25 MARSTON ST, Lawrence, MA 01841
Open in Google Maps ↗

Other Identifiers 6

Other68737MA · Harvard Pilgrim
Other791722MA · Tufts Health Care
OtherJ19452MA · Blue Cross Blue Shield
Other2329169MA · Aetna Us Health
Medicaid3184536MA
OtherB20961901MA · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Nasima Khatoon M.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 ID2860518719
PECOS Enrollment IDI20100928001188
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 5

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
629 services327 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
119 services79 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
47 services47 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Holy Family Hospital

Acute Care Hospitals · Methuen, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220080
Location70 East StreetMethuen, MA 01844 · Essex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01841 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.36
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier13 claims700 services$0.50 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier23 claims23 services$12.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MICHAEL JOSEPH LANDMAN M.D.
Internal Medicine (Nephrology)
25 MARSTON ST
LAWRENCE, MA 01841
Essex County (978) 686-2400
MERRIMACK MEDICAL & WALK IN S LLC
Family Medicine
25 MARSTON ST, STE 304
LAWRENCE, MA 01841
Essex County (978) 688-3100
DAVID FARZAN MD
Family Medicine
25 MARSTON ST, 3RD FL
LAWRENCE, MA 01841
Essex County (978) 688-3100
MERRIMACK MEDICAL & WALK IN CENTER, LLC
Family Medicine
25 MARSTON ST, 3RD FLOOR
LAWRENCE, MA 01841
Essex County (978) 688-3100
BOSTON LASER NETWORK ONE, LLC
Ophthalmology
25 MARSTON ST, SUITE 104
LAWRENCE, MA 01841
Essex County (978) 685-5366
LAWRENCE G. KIDD M.D., P.C.
Internal Medicine
25 MARSTON ST, STE 401
LAWRENCE, MA 01841
Essex County (978) 682-3686
DR RICHARD CHOI ORTHOPEDICS LLC
Orthopaedic Surgery
25 MARSTON ST
LAWRENCE, MA 01841
Essex County (978) 273-0829
DR. ASIA ZAHEEN MD
Family Medicine
25 MARSTON ST, SUITE 304
LAWRENCE, MA 01841
Essex County (978) 688-3100

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 Nasima Khatoon's NPI number?

The NPI number for Nasima Khatoon is 1366425522. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Nasima Khatoon located?

Nasima Khatoon practices at 25 Marston St Suite 301, Lawrence, MA 01841. The listed phone number is (978) 946-8230.

What is Nasima Khatoon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Nasima Khatoon enrolled in Medicare?

Yes. Nasima Khatoon 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 Nasima Khatoon accept?

Health plans from Anthem Blue Cross and Blue Shield list Nasima Khatoon 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.

Is Nasima Khatoon affiliated with any hospitals?

According to CMS data, Nasima Khatoon is affiliated with Lawrence General Hospital, Massachusetts General Hospital, Holy Family Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Nasima Khatoon was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.