Individual provider Active NPI

Qalb Khan, M.D.

  • Nephrology Physician
  • Dallas, TX
National Provider Identifier
1104232925
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
U6995 Issued in TX
Practice address
10611 Garland Rd Ste 105
Dallas, TX 75218-2680
Phone
(469) 904-2020
Fax
(469) 904-2028
NPI assigned
Jul 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD461625 PA
Internal Medicine Physician 207R00000X U6995 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X U6995 TX
Hospitalist Physician 208M00000X MD461625 PA
Nephrology Physician 207RN0300X U6995 TX Primary

Addresses

Primary practice location

10611 Garland Rd Ste 105
Dallas, TX 75218-2680

Mailing address

5605 N Macarthur Blvd Ste 740
Irving, TX 75038-2626
Phone (214) 960-5681

Other practice location 1

221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312
Phone (214) 960-5681 ext. 75

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, 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
I20170821000547 PA Practitioner - Internal Medicine 5092087403 Reassigns benefits to 3 organizations
I20240719001293 TX Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 5092087403 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ccmma TX PLLCGroup PAC ID 6305275611, 15 clinicians
Kidney Care of Dallas PLLCGroup PAC ID 5395021968, 9 clinicians
Pulmonary Critical Care ProfessionalsGroup PAC ID 2062884471, 21 clinicians
Northeast Texas Intensivists, PLLCGroup PAC ID 5092167528, 48 clinicians

Practice addresses (Care Compare)

1 Medical Plaza
Pampa Regional Medical Center
Pampa, TX 79065
Phone (806) 665-3721

1601 N Belt Line Rd
Suite B
Mesquite, TX 75149-1791
Phone (713) 397-7789

2800 E Broad St
Suite 204
Mansfield, TX 76063-6411
Phone (682) 900-4174

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U6995TXMDNephrology Physician
MD461625PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jul 31, 2017 Accepting new patients
St. Luke'S Physician Group, Inc CurrentSince Jan 2, 2020 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Wellspan Medical Group CurrentSince Jul 31, 2017 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Pulmonary Critical Care Professionals Critical Care Medicine CurrentSince Jan 14, 2026 Accepting new patients
Gslpg, Inc CurrentSince Jan 2, 2020 Accepting new patients
Kidney Care of Dallas PLLC Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Northeast Texas Intensivists, PLLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Dallas Pulmonary & Critical Care PA Critical Care Medicine CurrentSince Jun 8, 2024 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jan 2, 2020 Accepting new patients

Locations

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

252 S 4th St
Fl 2
Lebanon, PA 17042
Phone (717) 270-3751

252 S 4th St
Fl 3
Lebanon, PA 17042
Phone (717) 270-4876

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525

10611 Garland Rd
Ste 105
Dallas, TX 75218
Phone (214) 660-9888

5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

2800 E Broad St
Ste 500
Mansfield, TX 76063
Phone (682) 900-4174

2800 E Broad St
Ste 204
Mansfield, TX 76063
Phone (682) 900-4174

1601 N Belt Line Rd
Ste B
Mesquite, TX 75149
Phone (607) 237-6043

519 E Interstate 30
Rockwall, TX 75087
Phone (469) 698-8500

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: qkhan38902@wellspan.direct-ci.com

Organizations & group practices 12

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 6

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1104232925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 N MACARTHUR BLVD STE 740",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382626",
            "telephone_number": "214-960-5681",
            "fax_number": "214-960-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 GARLAND RD STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182680",
            "telephone_number": "469-904-2020",
            "fax_number": "469-904-2028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 W Colorado Blvd Ste 525",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752082312",
            "country_code": "US",
            "telephone_number": "214-960-5681 x75",
            "fax_number": "214-960-5681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "QALB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD461625",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U6995",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "U6995",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD461625",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "U6995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.