Individual provider Active NPI

Perwaiz Kahn, M.D,

  • Internal Medicine Physician
  • Conroe, TX
National Provider Identifier
1043291388
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2987 Issued in TX
Practice address
150 Pine Forest Dr Ste 204
Conroe, TX 77384-5303
Phone
(936) 271-2222
Fax
(936) 271-2221
NPI assigned
Nov 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M2987 TX Primary

Addresses

Primary practice location

150 Pine Forest Dr Ste 204
Conroe, TX 77384-5303

Mailing address

150 Pine Forest Dr Ste 204
Conroe, TX 77384-5303
Phone (936) 271-2222

Other identifiers 1

IdentifierTypeStateIssuer
M2987OtherTEXAS MEDICAL BOARD LICENSE

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
I20130926000372 TX Practitioner - Internal Medicine 5395765309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Docs PAGroup PAC ID 7517052822, 9 clinicians
Zak Medical Group PAGroup PAC ID 3173847225, 2 clinicians

Practice addresses (Care Compare)

Montgomery, TX 77316
Phone (936) 588-6300

150 Pine Forest Dr
Suite 204
Shenandoah, TX 77384-5303
Phone (936) 271-2222

504 Medical Ctr Blvd
Conroe, TX 77304-2808
Phone (936) 588-6300

Hospital & facility affiliations

  • HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Zak Medical Group PA Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Zak Medical Center PC Internal Medicine CurrentSince Feb 23, 2006 Accepting new patients
Internists of North Dallas PA Internal Medicine PastSince Jan 1, 2016 Accepting new patients

Locations

5300 S Highway 95
Ste I
Fort Mohave, AZ 86426
Phone (928) 768-8285

504 Medical Center Blvd
#300
Conroe, TX 77304
Phone (936) 230-5358

100 Commercial Cir
Conroe, TX 77304
Phone (832) 299-4802

150 Pine Forest Dr
Ste 204
Shenandoah, TX 77384
Phone (928) 763-0433

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1043291388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR STE 204",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773845303",
            "telephone_number": "936-271-2222",
            "fax_number": "936-271-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR STE 204",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773845303",
            "telephone_number": "936-271-2222",
            "fax_number": "936-271-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "PERWAIZ",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD LICENSE",
            "identifier": "M2987",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.