Deactivated NPI 1609879303 Deactivated / Inactive NPI Female Practitioner

Dr. Fareeha I Khan , MD

Specialist • Vienna, VA

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Fareeha Khan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 27, 2005

NPI Deactivation Date March 17, 2006

Total Practice Duration ~18 Years of Practice (1988 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Fareeha Khan, MD was a registered Specialist practicing in Vienna, VA. Throughout an active medical career spanning 18 years, Dr. Khan provided care at the practice location at 1900 GALLOWS RD STE 100 until profile deactivation on 2006-03-17.

Dr. Khan accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, ultrasound study of arm or leg veins with compression and maneuvers, destruction of insufficient vein of arm or leg, accessed through the skin. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1900 Gallows Rd Ste 100

Vienna, VA 221823886

Telephone 7035601075

Fax 7035601076

Associated Practice Facility / Clinic

🏢 Fareeha I Khan, Md Pc Facility NPI 1316139157

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Vienna, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs -7.7 yrs vs City Avg

City Avg: 45.7 Yrs

State Avg: 37.5 Yrs

Regional Practice Density

16 Specialists

Practicing in Vienna, VA (878 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Khan (38 Years) 38 Yrs

Vienna Specialty Average (45.7 Years) 45.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	138	45	$146.00	$99.02
93970 Ultrasound study of arm or leg veins with compression and maneuvers	110	37	$453.00	$206.99
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	78	24	$5000.00	$1151.85
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	69	23	$3900.00	$1452.02
J2785 Injection, regadenoson, 0.1 mg	57	15	$98.68	$5.29
93000 Routine ekg using at least 12 leads including interpretation and report	34	28	$50.00	$15.93
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	28	27	$562.00	$223.01
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	28	18	$287.00	$133.37
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	21	21	$281.90	$92.26
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	21	21	$1000.00	$494.48
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	17	17	$215.00	$71.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	278	67	$146.00	$101.45
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	244	31	$5000.00	$1271.96
93970 Ultrasound study of arm or leg veins with compression and maneuvers	198	41	$453.00	$224.92
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	120	26	$3900.00	$1586.45
J2785 Injection, regadenoson, 0.1 mg	112	25	$93.75	$53.69
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	58	52	$562.00	$225.07
93000 Routine ekg using at least 12 leads including interpretation and report	56	46	$50.00	$16.24
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	48	23	$287.00	$142.69
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	45	42	$230.22	$118.08
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	44	41	$1000.00	$522.29
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	34	34	$215.00	$76.47
93880 Ultrasound of both sides of head and neck blood flow	24	22	$445.00	$224.39
93925 Ultrasound of leg arteries or artery grafts	24	21	$441.00	$287.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$219.00	$121.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	209	66	$146.00	$104.31
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	172	36	$5000.00	$1383.31
J2785 Injection, regadenoson, 0.1 mg	144	33	$93.75	$59.70
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	110	29	$287.00	$149.37
93970 Ultrasound study of arm or leg veins with compression and maneuvers	97	51	$453.00	$235.65
93000 Routine ekg using at least 12 leads including interpretation and report	69	53	$50.00	$16.60
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	68	29	$3900.00	$1713.52
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	50	40	$562.00	$241.75
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	49	46	$1000.00	$547.99
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	47	44	$400.00	$396.73
93880 Ultrasound of both sides of head and neck blood flow	31	28	$445.00	$233.38
93925 Ultrasound of leg arteries or artery grafts	17	16	$441.00	$288.82
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	14	14	$215.00	$79.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$219.00	$122.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	241	79	$146.00	$105.80
J2785 Injection, regadenoson, 0.1 mg	232	49	$93.75	$58.46
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	174	38	$5000.00	$1592.49
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	173	46	$3900.00	$1896.12
93970 Ultrasound study of arm or leg veins with compression and maneuvers	160	59	$453.00	$243.25
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	157	41	$287.00	$152.94
93000 Routine ekg using at least 12 leads including interpretation and report	92	66	$50.00	$17.32
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	75	65	$400.00	$394.67
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	75	64	$1000.00	$591.14
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	71	58	$562.00	$242.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	43	$89.00	$64.92
93880 Ultrasound of both sides of head and neck blood flow	44	39	$445.00	$247.38
93925 Ultrasound of leg arteries or artery grafts	26	22	$441.00	$316.40
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	24	21	$450.00	$233.66
93923 Complete ultrasound study of arm and leg arteries	22	18	$429.00	$162.60
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	19	17	$215.00	$78.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$219.00	$130.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	285	97	$146.00	$86.12
J2785 Injection, regadenoson, 0.1 mg	264	62	$93.75	$57.20
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	206	46	$3900.00	$1831.83
93970 Ultrasound study of arm or leg veins with compression and maneuvers	164	64	$453.00	$231.08
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	154	41	$5000.00	$1639.51
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	133	43	$287.00	$144.96
93000 Routine ekg using at least 12 leads including interpretation and report	120	89	$50.00	$19.74
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	105	89	$562.00	$242.68
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	94	89	$400.00	$389.32
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	93	88	$1000.00	$566.79
93880 Ultrasound of both sides of head and neck blood flow	46	40	$445.00	$240.81
93925 Ultrasound of leg arteries or artery grafts	40	35	$441.00	$309.40
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	33	14	$2000.00	$1293.81
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	28	27	$215.00	$79.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	20	$89.00	$51.31
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	26	25	$450.00	$227.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$220.18	$124.24
93923 Complete ultrasound study of arm and leg arteries	19	17	$429.00	$161.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$219.00	$110.79
93924 Ultrasound study of arteries of both legs at rest and exercise	11	11	$529.00	$200.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	327	124	$146.00	$83.78
J2785 Injection, regadenoson, 0.1 mg	279	68	$93.75	$57.40
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	196	54	$3900.00	$1818.18
93000 Routine ekg using at least 12 leads including interpretation and report	158	106	$50.00	$19.61
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	153	51	$287.00	$141.58
93970 Ultrasound study of arm or leg veins with compression and maneuvers	139	68	$453.00	$229.14
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	130	44	$2000.00	$1308.49
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	110	96	$562.00	$240.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	104	97	$394.23	$380.83
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	102	96	$1000.00	$572.30
93880 Ultrasound of both sides of head and neck blood flow	60	58	$445.00	$239.27
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	34	31	$215.00	$81.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$222.59	$122.78
93925 Ultrasound of leg arteries or artery grafts	29	27	$441.00	$305.48
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	29	16	$5000.00	$1707.00
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	24	23	$450.00	$220.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$89.00	$51.67
93923 Complete ultrasound study of arm and leg arteries	19	17	$429.00	$151.49
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	13	$100.00	$65.07
36471 Injection of chemical agent into multiple incompetent veins of leg	12	11	$300.00	$225.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2785 Injection, regadenoson, 0.1 mg	344	80	$93.75	$55.65
99213 Established patient office or other outpatient visit, typically 15 minutes	284	135	$146.00	$82.71
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	244	45	$2000.00	$1435.87
93000 Routine ekg using at least 12 leads including interpretation and report	140	113	$50.00	$19.58
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	133	109	$342.86	$331.23
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	115	102	$562.00	$243.91
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	113	108	$1000.00	$584.50
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	112	44	$287.00	$144.11
93970 Ultrasound study of arm or leg veins with compression and maneuvers	110	69	$453.00	$235.42
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	71	29	$3525.35	$1913.60
94644 Respiratory inhaled aerosol treatment to relieve airway obstruction, first hour	70	69	$100.00	$54.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$219.00	$122.49
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	38	36	$215.00	$81.81
93880 Ultrasound of both sides of head and neck blood flow	34	34	$445.00	$237.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$96.77	$50.33
36473 Mechanochemical destruction of first incompetent vein of arm or leg using imaging guidance	19	14	$2500.00	$1713.30
93925 Ultrasound of leg arteries or artery grafts	18	18	$441.00	$313.92
36471 Injection of chemical agent into multiple incompetent veins of leg	16	14	$300.00	$222.09
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	12	$100.00	$68.85
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	13	13	$450.00	$201.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	420	151	$146.00	$79.80
J2785 Injection, regadenoson, 0.1 mg	401	89	$93.75	$53.57
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	197	54	$287.00	$135.86
93000 Routine ekg using at least 12 leads including interpretation and report	183	145	$50.00	$18.37
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	157	139	$383.44	$367.43
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	147	131	$562.00	$252.15
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	147	136	$1000.00	$542.86
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	130	51	$2000.00	$1364.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	79	$219.00	$111.37
94644 Respiratory inhaled aerosol treatment to relieve airway obstruction, first hour	100	89	$100.00	$50.66
93970 Ultrasound study of arm or leg veins with compression and maneuvers	98	66	$453.00	$224.22
93880 Ultrasound of both sides of head and neck blood flow	63	61	$445.00	$225.57
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	57	56	$215.00	$79.98
36471 Injection of chemical agent into multiple incompetent veins of leg	52	26	$306.73	$188.27
36473 Mechanochemical destruction of first incompetent vein of arm or leg using imaging guidance	51	20	$2500.00	$1722.10
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	50	26	$110.00	$65.73
93925 Ultrasound of leg arteries or artery grafts	36	32	$441.00	$298.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$220.49	$118.89
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	31	26	$450.00	$219.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$89.00	$48.31
93926 Ultrasound of one leg arteries or artery grafts	14	11	$281.00	$160.37
93923 Complete ultrasound study of arm and leg arteries	14	14	$429.00	$156.32
93229 Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional	13	13	$1500.00	$838.49
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	12	12	$100.00	$27.82

Medical Specialties & State Licenses

CMS Verified: 2021-11-08

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA 0101055045

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Internal Medicine - Cardiovascular Disease

NUCC Taxonomy Code: 207RC0000X

State License VA 0101055045

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

010034736 (VA)

Commercial Insurance / Payer ID Rr Medicare

P00094786 (VA)

Commercial Insurance / Payer ID Anthem

267155 (VA)

Commercial Insurance / Payer ID Aetna Ppo

7489487 (VA)

Commercial Insurance / Payer ID Mamsi

2128312 (VA)

Commercial Insurance / Payer ID Aetna Hmo

3304254 (VA)

Commercial Insurance / Payer ID Carefirst Bcbs

J093 0001 (VA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Practice Location November 08, 2021

Registered at 1900 GALLOWS RD STE 100, VIENNA, VA 221823886 (Tel: 7035601075)

📍

Updated Business Mailing Address November 08, 2021

Registered at 1900 GALLOWS RD STE 100, VIENNA, VA 221823886 (Tel: 7035601075)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2021

Specialist (License #0101055045 in VA)

📍

Updated Practice Location June 18, 2019

Registered at 2826 OLD LEE HWY, SUITE 100, FAIRFAX, VA 22031 (Tel: 7035601075)

📍

Updated Business Mailing Address June 18, 2019

Registered at 2826 OLD LEE HWY, SUITE 100, FAIRFAX, VA 22031 (Tel: 7035601075)

👤

Provider Name / Credentials Updated June 18, 2019

Recorded as FAREEHA KHAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2019

Internal Medicine (License #0101055045 in VA)

📍

Updated Practice Location July 08, 2007

Registered at 4001 FAIR RIDGE DR, STE 205, FAIRFAX, VA 220332917 (Tel: 7032738479)

📍

Updated Business Mailing Address July 08, 2007

Registered at 4001 FAIR RIDGE DR, STE 205, FAIRFAX, VA 220332917 (Tel: 7032738479)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as FAREEHA KHAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #0101055045 in VA)

🔄

NPI Profile Reactivated June 23, 2006

Record officially reactivated for active practice on June 23, 2006

⚠️

NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

🟢

Initial NPI Registration & Enumeration May 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Fareeha Khan. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1609879303

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 27, 2005

Last Update: November 08, 2021

Deactivation Date: March 17, 2006

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1900 Gallows Rd Ste 100

Vienna, VA 221823886

Phone: 7035601075

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.