Individual provider Active NPI

Farhat Khan, MD

  • Internal Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1104097484
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P1340 Issued in TX
Practice address
150 Pine Forest Dr Ste 204
Shenandoah, TX 77384-5303
Phone
(936) 271-2222
Fax
(936) 270-2228
NPI assigned
Mar 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38016 AZ
Internal Medicine Physician 207R00000X 247791 NY
Internal Medicine Physician 207R00000X P1340 TX Primary

Addresses

Primary practice location

150 Pine Forest Dr Ste 204
Shenandoah, TX 77384-5303

Mailing address

150 Pine Forest Dr Ste 204
Shenandoah, TX 77384-5303
Phone (936) 271-2222

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
I20140924001875 TX Practitioner - Internal Medicine 3173694569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zak Medical Group PAGroup PAC ID 3173847225, 2 clinicians

Practice addresses (Care Compare)

150 Pine Forest Dr
Suite 204
Shenandoah, TX 77384-5303
Phone (936) 271-2222

Hospital & facility affiliations

  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247791NYMDInternal Medicine Physician
P1340TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zak Medical Group PA Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Zak Medical Center PC Internal Medicine Past Accepting new patients
St. Luke'S Community Health Services Past Accepting new patients
Methodist Health Centers Past Accepting new patients
Internists of North Dallas PA Internal Medicine PastSince Aug 1, 2014 Accepting new patients

Locations

504 Medical Center Blvd
#300
Conroe, TX 77304
Phone (936) 230-5358

100 Commercial Cir
Conroe, TX 77304
Phone (832) 299-4802

150 Pine Forest Dr
Ste 204
Shenandoah, TX 77384
Phone (928) 763-0433

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 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": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1104097484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR STE 204",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845303",
            "telephone_number": "936-271-2222",
            "fax_number": "936-270-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR STE 204",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845303",
            "telephone_number": "936-271-2222",
            "fax_number": "936-270-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FARHAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "38016",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "247791",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.