Active NPI
Shariq Khan, M.D.
- Family Medicine Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301098883
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141106000597 | TX | Practitioner - Emergency Medicine | 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 PLLCRayford ER Group PLLC
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q0951 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston ER Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current | Accepting new patients |
| Excellence Emergency Hospital Physician PLLC | Current | 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
- 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.
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1750044871
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1639154230
Emergency Medicine
-
- Emergency Medicine Physician
- Lufkin, TX
- NPI 1992843387
Emergency Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.