Individual provider Active NPI

Ajaz Omer Khan, M.D.

  • Family Medicine Physician
  • Mesquite, TX
National Provider Identifier
1043257645
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M0129 Issued in TX
Practice address
3400 Interstate 30 Ste 270
Mesquite, TX 75150-2601
Phone
(972) 288-9747
Fax
(972) 288-2610
NPI assigned
Jun 1, 2006
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M0129 TX Primary

Addresses

Primary practice location

3400 Interstate 30 Ste 270
Mesquite, TX 75150-2601

Mailing address

405 Hood CT
Coppell, TX 75019-2758
Phone (972) 510-7539

Other practice location 1

1151 N Buckner Blvd Ste 102
Dallas, TX 75218-3438
Phone (214) 328-7400

Other practice location 2

10009 N MacArthur Blvd Ste 109
Irving, TX 75063-5082
Phone (469) 913-7059

Other practice location 3

8208 Bedford Euless Rd
North Richland Hills, TX 76180-7214
Phone (817) 581-5959

Other practice location 4

405 Hood Ct
Coppell, TX 75019-2758
Phone (972) 510-7539

Other identifiers 1

IdentifierTypeStateIssuer
177146101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051027000252 TX Practitioner - Family PracticePractitioner - Emergency Medicine 8426952037 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aymancare PLLCGroup PAC ID 2567798671, 8 clinicians
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians

Practice addresses (Care Compare)

10009 N Macarthur Blvd
Suite 109
Irving, TX 75063-5082
Phone (469) 913-7059

1151 N Buckner Blvd
Suite 102
Dallas, TX 75218-3438
Phone (214) 328-7400

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

3400 Interstate Hwy 30
Suite 270
Mesquite, TX 75150-2601
Phone (972) 288-9747

8208 Bedford Euless Rd
North Richland Hills, TX 76180-7214
Phone (817) 581-5959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
24 Hour Physicians, Inc Emergency Medicine CurrentSince Feb 1, 2015 Accepting new patients
Shawnee Trail Emergency Physicians Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients
Collin Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services PA Emergency Medicine Past Accepting new patients
Cowboy Capital Emergency Physicians Emergency Medicine Past Accepting new patients
Chandor Emergency Physicians Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients
Pelican Medical Specialists PLLC PastSince Aug 3, 2025 Accepting new patients
Four States Emergency Physicians Emergency Medicine Past Accepting new patients
Palo Pinto Emergency Physicians Emergency Medicine PastSince Mar 17, 2008 Accepting new patients

Locations

620 S Main St
Keller, TX 76248
Phone (214) 294-6100

511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150

1604 West Ave
San Antonio, TX 78201
Phone (210) 572-8885

Interoperability endpoints

  • Direct secure messaging: ajaz.khan@aym.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHDIBD/Endpoint/AHDIBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AJHDBD

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1043257645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 HOOD CT",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192758",
            "telephone_number": "972-510-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 INTERSTATE 30 STE 270",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502601",
            "telephone_number": "972-288-9747",
            "fax_number": "972-288-2610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 N Buckner Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752183438",
            "country_code": "US",
            "telephone_number": "214-328-7400",
            "fax_number": "214-328-7680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10009 N MacArthur Blvd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750635082",
            "country_code": "US",
            "telephone_number": "469-913-7059",
            "fax_number": "469-913-7058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8208 Bedford Euless Rd",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761807214",
            "country_code": "US",
            "telephone_number": "817-581-5959",
            "fax_number": "682-334-0462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Hood Ct",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750192758",
            "country_code": "US",
            "telephone_number": "972-510-7539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AJAZ",
        "middle_name": "OMER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177146101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.