Active NPI
Mubeen M Khan, MD
- Internal Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R3543
- Practice address
- 1515 Holcombe Blvd
Houston, TX 77030 - Phone
- (713) 792-6161
- NPI assigned
- Jun 26, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27360 | NE | |
| Internal Medicine Physician | 207R00000X | 39195 | IA | |
| Internal Medicine Physician | 207R00000X | R8670 | IA | |
| Internal Medicine Physician | 207R00000X | R3543 | TX | Primary |
Addresses
Primary practice location
1515 Holcombe Blvd
Houston, TX 77030
Mailing address
P O Box 4439
Houston, TX 77210-4439
Phone (713) 792-2991
Other practice location 1
988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Phone (402) 559-4015
Other practice location 2
988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Phone (402) 559-4015
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374025003 | Medicaid | TX | |
| 8JA661 | Other | TX | BCBS |
| 374025004 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Nebraska College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6410 Fannin St
Suite 1014
Houston, TX 77030-5301
Phone (832) 325-7080
Hospital & facility affiliations
- Harris Health
- Memorial Hermann - Texas Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39195 | IA | MD | Internal Medicine Physician |
| R8670 | IA | MD | Internal Medicine Physician |
| 27360 | NE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Internal Medicine | Current | Accepting new patients |
| Physicians Referral Service | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients |
Locations
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446
5550 Kelley St
Houston, TX 77026
Phone (713) 218-2697
1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446
6410 Fannin St
Ste 1014
Houston, TX 77030
Phone (713) 500-7100
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1073574810
-
- Health Educator
- Houston, TX
- NPI 1316534472
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1205900370
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1124256383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 4439",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104439",
"telephone_number": "713-792-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-792-6161"
}
],
"practiceLocations": [
{
"address_1": "988102 Nebraska Medical Ctr",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681988102",
"country_code": "US",
"telephone_number": "402-559-4015",
"fax_number": "402-559-8715",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "988102 Nebraska Medical Ctr",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681988102",
"country_code": "US",
"telephone_number": "402-559-4015",
"fax_number": "402-559-8715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "MUBEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-26",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "27360",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "39195",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "R8670",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "R3543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374025003",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8JA661",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374025004",
"state": "TX"
}
],
"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 Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.