Individual provider Active NPI

Anila Ikram Khan, M.D.

  • Internal Medicine Physician
  • Euless, TX
National Provider Identifier
1063415545
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K0088 Issued in TX
Practice address
493 Westpark Way
Euless, TX 76040-3957
Phone
(817) 354-7500
Fax
(817) 354-7502
NPI assigned
May 27, 2005
Last updated
Dec 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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 K0088 TX Primary

Addresses

Primary practice location

493 Westpark Way
Euless, TX 76040-3957

Mailing address

493 Westpark Way
Euless, TX 76040-3957
Phone (817) 354-7500

Other identifiers 1

IdentifierTypeStateIssuer
036297202MedicaidTX

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
I20070315000167 TX Practitioner - Internal Medicine 9032139597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

493 Westpark Way
Euless, TX 76040-3957
Phone (817) 354-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K0088TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
R Edward Roybal MD PA CurrentSince Dec 22, 2008 Accepting new patients
786 Medical PLLC Internal Medicine CurrentSince Dec 22, 2008 Accepting new patients
Always Available Visiting Physicians Internal Medicine Past Accepting new patients
Always Available Health Care Inc. Past Accepting new patients
Zmans Chronic MHT LLC Internal Medicine PastSince Apr 25, 2016 Accepting new patients

Locations

2700 Tibbets Dr
Ste 408
Bedford, TX 76022
Phone (817) 545-8895

493 Westpark Way
Euless, TX 76040
Phone (817) 283-5115

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1063415545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 WESTPARK WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403957",
            "telephone_number": "817-354-7500",
            "fax_number": "817-354-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 WESTPARK WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403957",
            "telephone_number": "817-354-7500",
            "fax_number": "817-354-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ANILA",
        "middle_name": "IKRAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K0088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036297202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

Verify at the official NPI Registry.