Individual provider Active NPI

Shariq Khan, M.D.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1063707248
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301098883 Issued in MI
Practice address
10301 Gateway Blvd W
El Paso, TX 79925-7701
Phone
(915) 595-9202
NPI assigned
Jun 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q0951 TX
Family Medicine Physician 207Q00000X 4301098883 MI Primary

Addresses

Primary practice location

10301 Gateway Blvd W
El Paso, TX 79925-7701

Mailing address

10301 Gateway Blvd W
El Paso, TX 79925-7701
Phone (915) 595-9202

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
I20141106000597 TX Practitioner - Emergency MedicinePractitioner - Family Practice 8921239302 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excellence Emergency Hospital Physician PLLC 6 clinicians
Rayford ER Group PLLC 10 clinicians

Practice addresses (Care Compare)

15149 Wallisville Rd
Houston, TX 77049-4619
Phone (832) 400-2396

2306 Rayford Rd
Spring, TX 77386-1707
Phone (281) 453-7777

Hospital & facility affiliations

  • East Houston Medical Center Hospital, Houston, TX, CCN 670320

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q0951TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston ER Physicians, LLC Emergency Medicine CurrentSince Jul 30, 2022 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Excellence Emergency Hospital Physician PLLC CurrentSince Feb 9, 2023 Accepting new patients
Medical Center Emergency Physicians PA Emergency Medicine Past Accepting new patients
Texas Emergency Room Services PA Emergency Medicine Past Accepting new patients

Locations

15149 Wallisville Rd
Houston, TX 77049
Phone (832) 400-2396

837 Cypress Creek Pkwy
Ste 111
Houston, TX 77090
Phone (281) 453-7150

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

2306 Rayford Rd
Spring, TX 77386
Phone (281) 453-7150

5037B FM 2920 Rd
Spring, TX 77388
Phone (281) 453-7777

2306 Rayford Rd
Ste 200
Spring, TX 77386
Phone (281) 453-7777

Interoperability endpoints

  • Direct secure messaging: hmhskhan@yourcarecommunity.org

Organizations & group practices 6

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1063707248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 GATEWAY BLVD W",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257701",
            "telephone_number": "915-595-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 GATEWAY BLVD W",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257701",
            "telephone_number": "915-595-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHARIQ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q0951",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301098883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.