Active NPI
Mustafa Ali Khan, MD
- Surgery Physician
- Houston, TX
National Provider Identifier
1093495327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- BP10084705
- Practice address
- Department of Surgery, 6550 Fannin Street
Smith Tower, 16TH Floor
Houston, TX 77030 - Phone
- (713) 441-5155
- NPI assigned
- Jul 21, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | BP10084705 | TX | Primary |
Addresses
Primary practice location
Department of Surgery, 6550 Fannin Street
Smith Tower, 16TH Floor
Houston, TX 77030
Mailing address
Department of Surgery, 6550 Fannin Street
Smith Tower, 16TH Floor
Houston, TX 77030
Phone (713) 441-5155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10084705 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1093495327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT OF SURGERY, 6550 FANNIN STREET",
"address_2": "SMITH TOWER, 16TH FLOOR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-441-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF SURGERY, 6550 FANNIN STREET",
"address_2": "SMITH TOWER, 16TH FLOOR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-441-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "MUSTAFA ALI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-21",
"last_updated": "2023-07-21",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "BP10084705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.