Individual provider Active NPI

Aisha B Khattak, M.D.

  • Internal Medicine Physician
  • Richmond, TX
National Provider Identifier
1104142736
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q9654 Issued in TX
Practice address
8002 FM 1464 Rd Ste 300
Richmond, TX 77407-8087
Phone
(832) 400-2733
Fax
(832) 400-2734
NPI assigned
Apr 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Q9654 TX Primary
Nephrology Physician 207RN0300X Q9654 TX

Addresses

Primary practice location

8002 FM 1464 Rd Ste 300
Richmond, TX 77407-8087

Mailing address

8002 FM 1464 Rd Ste 300
Richmond, TX 77407-8087
Phone (832) 400-2733

Other identifiers 1

IdentifierTypeStateIssuer
364324920MedicaidTX

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
I20161116002946 TX Practitioner - Internal MedicinePractitioner - Nephrology 5496034373 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Care Houston PLLC 2 clinicians

Practice addresses (Care Compare)

705 S Fry Rd
Suite 235
Katy, TX 77450-2253
Phone (832) 434-5111

Hospital & facility affiliations

  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q9654TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Nov 1, 2016 Accepting new patients
Renal Care Houston PLLC Nephrology CurrentSince Mar 15, 2024 Accepting new patients
Haider Afzal MD PA CurrentSince Mar 1, 2023 Accepting new patients
Ut Physicians Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
Excellence Emergency Hospital Physician PLLC CurrentSince Jan 14, 2023 Accepting new patients

Locations

1690 W Baker Rd
Ste B
Baytown, TX 77521
Phone (281) 428-8203

15119 Wallisville Rd
Ste 700
Houston, TX 77049
Phone (832) 538-0243

6431 Fannin St
#5125
Houston, TX 77030

1515 Holcombe Blvd
#M
Houston, TX 77030
Phone (713) 792-6127

1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

15149 Wallisville Rd
Houston, TX 77049
Phone (832) 400-2396

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

705 S Fry Rd
Ste 235
Katy, TX 77450
Phone (281) 398-2140

Interoperability endpoints

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

Organizations & group practices 5

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": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1104142736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 FM 1464 RD STE 300",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774078087",
            "telephone_number": "832-400-2733",
            "fax_number": "832-400-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 FM 1464 RD STE 300",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774078087",
            "telephone_number": "832-400-2733",
            "fax_number": "832-400-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATTAK",
        "first_name": "AISHA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q9654",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "Q9654",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364324920",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.