Individual provider Active NPI

Adnan Ahmed Khan, M.D.

  • Interventional Pain Medicine Physician
  • Georgetown, TX
National Provider Identifier
1083861249
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
M9404 Issued in TX
Practice address
1900 Scenic Dr Ste 1108
Georgetown, TX 78626-7724
Phone
(512) 400-4195
Fax
(512) 287-5563
NPI assigned
Aug 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X M9404 TX
Interventional Pain Medicine Physician 208VP0014X M9404 TX Primary

Addresses

Primary practice location

1900 Scenic Dr Ste 1108
Georgetown, TX 78626-7724

Mailing address

PO Box 674029
Dallas, TX 75267-4029
Phone (512) 400-4195

Other practice location 1

715 Discovery Blvd Ste 102
Cedar Park, TX 78613-2294
Phone (512) 400-4195

Other practice location 2

12309 N Mopac Expy Ste 125
Austin, TX 78758-2577
Phone (512) 400-4195

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
I20081229000467 TX Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 1951463900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
University of Arkansas College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1900 Scenic Dr
Suite 1108
Georgetown, TX 78626-7724
Phone (512) 400-4195

Merit-based Incentive Payment System (MIPS)

Final score
79.69 of 100Reported as group
Quality
79.07
Improvement activities
40
Cost
60.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9404TXMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Anesthesia Partners PLLC Pain Medicine CurrentSince Feb 1, 2021 Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince Jun 19, 2018 Accepting new patients
Central Texas Anesthesia Partners PLLC Pain Medicine CurrentSince Jan 1, 2021 Accepting new patients
University of Texas at Austin Dell Medical School Current Accepting new patients
The University of Texas at Austin CurrentSince Jun 19, 2018 Accepting new patients
Conroe Ambulatory Anesthesia PA Past Accepting new patients

Locations

12309 N Mopac Expy
Ste 125
Austin, TX 78758
Phone (512) 206-8000

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23958/brand/1/csg/1/fhir/r4
  • Direct secure messaging: adnan.khan.1@16041.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1083861249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674029",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674029",
            "telephone_number": "512-400-4195",
            "fax_number": "512-287-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SCENIC DR STE 1108",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267724",
            "telephone_number": "512-400-4195",
            "fax_number": "512-287-5563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Discovery Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786132294",
            "country_code": "US",
            "telephone_number": "512-400-4195",
            "fax_number": "512-287-5563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12309 N Mopac Expy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787582577",
            "country_code": "US",
            "telephone_number": "512-400-4195",
            "fax_number": "512-287-5563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ADNAN",
        "middle_name": "AHMED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "M9404",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "M9404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.