ISHETA KHANOM MD
NPI 1780316216
Student in an Organized Health Care Education/Training Program in Falls Church, VA

Active since June 24, 2022PECOS EnrolledAccepts Medicare Assignment
3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-3582 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Isheta Khanom Md NPPES

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

ISHETA KHANOM MD (NPI 1780316216) is an individual student in an organized health care education/training program in Falls Church, Virginia, licensed in Virginia (0116036832) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1780316216
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameISHETA KHANOMCredential: MD
Location Address3300 GALLOWS RDFalls Church, VA 22042-3307
Mailing Address3300 Gallows Rd Dept OfFalls Church, VA 22042-3307 · (703) 776-3582
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 24, 2022
NPPES CertifiedJune 24, 2022
NPI 1780316216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in VA · 0116036832
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3300 GALLOWS RD, Falls Church, VA 22042

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

Isheta Khanom Md 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 ID6002358934
PECOS Enrollment IDI20251203004551, I20260223000789
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.

Hospital Affiliations CMS Care Compare

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

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.

Psychiatry & Neurology (Psychiatry)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Obstetrics & Gynecology
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Nurse Practitioner (Acute Care)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pediatrics
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Nurse Anesthetist, Certified Registered
3300 GALLOWS RD
FALLS CHURCH, VA 22042

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 Isheta Khanom's NPI number?

The NPI number for Isheta Khanom is 1780316216. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Where is Isheta Khanom located?

Isheta Khanom practices at 3300 Gallows Rd, Falls Church, VA 22042. The listed phone number is (703) 776-3582.

What is Isheta Khanom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Isheta Khanom enrolled in Medicare?

Yes. Isheta Khanom 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.

Is Isheta Khanom affiliated with any hospitals?

According to CMS data, Isheta Khanom is affiliated with Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Isheta Khanom was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.