Individual provider Active NPI

Sardar Daud Khan, MD

  • Gastroenterology Physician
  • Houston, TX
National Provider Identifier
1104826452
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
F7502 Issued in TX
Practice address
17070 Red Oak Dr.
Suite 503
Houston, TX 77090-2617
Phone
(281) 444-2399
Fax
(281) 444-3417
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X F7502 TX Primary

Addresses

Primary practice location

17070 Red Oak Dr.
Suite 503
Houston, TX 77090-2617

Mailing address

17070 Red Oak Dr.
Suite 503
Houston, TX 77090-2617
Phone (281) 444-2399

Other identifiers 1

IdentifierTypeStateIssuer
355232501MedicaidTX

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
I20120404000362 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 4284894916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17070 Red Oak Dr
Suite 503
Houston, TX 77090-2617
Phone (281) 444-2399

Hospital & facility affiliations

  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638
  • Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy82
Upper gastrointestinal (GI) endoscopy for acid reflux46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F7502TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S D Khan MD PA Specialist CurrentSince Dec 16, 2011 Accepting new patients
Champion Hospice, LLC CurrentSince Dec 3, 2015 Accepting new patients
Med-a-Clinico Past Accepting new patients
Med a Clinico Past Accepting new patients

Locations

17070 Red Oak Dr
Ste 503
Houston, TX 77090
Phone (281) 444-2399

714 FM 1960 Rd W
Ste 201
Houston, TX 77090
Phone (281) 444-2399

Interoperability endpoints

  • Direct secure messaging: sakhan@direct.uspi.com

Organizations & group practices 4

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1104826452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR.",
            "address_2": "SUITE 503",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902617",
            "telephone_number": "281-444-2399",
            "fax_number": "281-444-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR.",
            "address_2": "SUITE 503",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902617",
            "telephone_number": "281-444-2399",
            "fax_number": "281-444-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SARDAR",
        "middle_name": "DAUD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "F7502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355232501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.