Individual provider Active NPI

Heena Khan, MD

  • Internal Medicine Physician
  • Conroe, TX
National Provider Identifier
1063778660
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R0887 Issued in TX
Practice address
504 Medical Center Blvd
Conroe, TX 77304-2808
Phone
(901) 857-3952
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 0101262742 VA
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X R0887 TX Primary

Addresses

Primary practice location

504 Medical Center Blvd
Conroe, TX 77304-2808

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000

Other practice location 1

5367 W Richey Rd
Houston, TX 77066-3323
Phone (281) 895-3008

Other practice location 2

2727 W Holcombe Blvd
Houston, TX 77025-1669
Phone (713) 442-0000

Other identifiers 1

IdentifierTypeStateIssuer
R0887OtherTXSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drheena@hotmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170912000057 VA Practitioner - Internal Medicine 3476791492 Reassigns benefits to 1 organization
I20181204000838 TX Practitioner - Internal Medicine 3476791492 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Epic Heart and Vascular Center PLLCGroup PAC ID 7618208653, 2 clinicians

Practice addresses (Care Compare)

17070 Red Oak Dr
Suite 405
Houston, TX 77090-2616
Phone (832) 432-1951

Hospital & facility affiliations

  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638
  • Riceland Medical Center Hospital, Winnie, TX, CCN 451328

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0887TXMDInternal Medicine Physician
0101262742VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey-Seybold Medical Group, PLLC Family Medicine CurrentSince Aug 21, 2023 Accepting new patients
Champions Point Family Clinic LLC Family Medicine CurrentSince Nov 12, 2023 Accepting new patients
University of Virginia Physicians Group CurrentSince Aug 2, 2017 Accepting new patients
Epic Heart & Vascular Center PLLC Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
North Houston - TRMC, LLC Past Accepting new patients
Houston Northwest Operating Company, LLC Past Accepting new patients

Locations

17070 Red Oak Dr
Ste 402
Houston, TX 77090
Phone (281) 893-9982

5367 W Richey Rd
Houston, TX 77066
Phone (281) 895-3008

17070 Red Oak Dr
Ste 405
Houston, TX 77090
Phone (281) 440-1500

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

201 Enterprise Ave
Ste 900
League City, TX 77573
Phone (713) 442-2826

7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200

11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997

2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200

20212 Champion Forest Dr
Ste 700365
Spring, TX 77379

6534 Greatwood Pkwy
Ste A
Sugar Land, TX 77479
Phone (832) 432-1951

155 School St
Ste 220
Tomball, TX 77375
Phone (832) 305-5977

1215 Lee St
Fl 3
Charlottesville, VA 22908
Phone (434) 243-7594

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIFCCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIFCCD/Endpoint/CIFCCD
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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 2

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1063778660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 SHADOW CREEK PKWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847298",
            "telephone_number": "713-442-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MEDICAL CENTER BLVD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042808",
            "telephone_number": "901-857-3952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5367 W Richey Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770663323",
            "country_code": "US",
            "telephone_number": "281-895-3008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2727 W Holcombe Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770251669",
            "country_code": "US",
            "telephone_number": "713-442-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "HEENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101262742",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R0887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "R0887",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drheena@hotmail.com",
            "affiliation": "N",
            "address_1": "504 Medical Center Blvd",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773042808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.