SAMIUR RAHMAN KHANDKER (MD) – Emergency Medicine Physician, NPI 1689847287

SAMIUR RAHMAN KHANDKER (MD) is a healthcare provider. based in Reston, Virginia. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. Q2007 (TX). The NPI Number for SAMIUR RAHMAN KHANDKER (MD) is 1689847287

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
SAMIUR RAHMAN KHANDKER (MD)
NPI
1689847287
Phone
(571) 218-7477
Address
12025 NEW DOMINION PKWY APT 208
Enumeration Date
4 April 2008
Last Update Date
12 August 2025

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
4326972738
Graduation Year
2008 (18 years ago)
PAC ID
4587829155
Group Practice PAC ID
2567870470
Professional Enrollment ID
I20141217002604
Address ID
TX797015846MI400XXPKWY500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Digital endpointsOther names

1,497 EMERGENCY MEDICINE in VA

Provider Addresses for SAMIUR RAHMAN KHANDKER (MD)

  • 12025 NEW DOMINION PKWY APT 208

    RESTON, VA 201906265

    Phone: (571) 218-7477

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-06-22 • Largest payer in this snapshot: Inari Medical, Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$25
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141217002604IEmergency MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making403378$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only332304$0
99284Emergency department visit with moderate level of medical decision making105103$0
99291Critical care, first 30-74 minutes105102$0
View full utilization report →

Insurance plans in this area (ZIP 20190)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567870470View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineOH
Emergency MedicineGA
Nurse PractitionerTX
Emergency MedicineCA

Reviews

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Frequently asked questions

Can I verify SAMIUR RAHMAN KHANDKER (MD) with an NPI only?
You can start verification with NPI 1689847287 for SAMIUR RAHMAN KHANDKER (MD), then check state licensing separately.
Can I rely on SAMIUR RAHMAN KHANDKER (MD) being an active provider?
As of the registry snapshot, SAMIUR RAHMAN KHANDKER (MD) is marked active.
What healthcare role does SAMIUR RAHMAN KHANDKER (MD) hold?
Scheduling teams often label SAMIUR RAHMAN KHANDKER (MD) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect SAMIUR RAHMAN KHANDKER (MD) on a map?
Expect Reston, Virginia as a primary anchor for SAMIUR RAHMAN KHANDKER (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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