Organization Active NPI

Junaid a. Khan, MD, PA

  • Internal Medicine Physician
  • Webster, TX
National Provider Identifier
1134318769
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JUNAID A. KHAN, MD, PA
Practice address
450 W Medical Center Blvd Ste 308
Webster, TX 77598-4233
Phone
(281) 557-0001
Fax
(281) 554-7403
NPI assigned
Oct 19, 2007
Last updated
Aug 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Dr. Junaid A. Khan, MDNPI 1578570867
Title
Owner
Phone
(281) 557-0001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

450 W Medical Center Blvd Ste 308
Webster, TX 77598-4233

Mailing address

PO Box 57831
Webster, TX 77598-7831
Phone (281) 557-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040220000187 TX Part B Supplier - Clinic/Group Practice 5991690638 Receives reassigned benefits from 2 practitioners
Practice locations: Webster, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1027124Junaid a Khan MD PA450 Medical Center Blvd Suite 308, Webster, TX 77598Certificate of waiverJun 23, 2028

National Provider Directory

National Provider Directory

Locations

17099 N Texas Ave
#100
Webster, TX 77598
Phone (281) 332-9685

450 W Medical Center Blvd
Ste 545
Webster, TX 77598
Phone (281) 280-8611

6 Professional Park Dr
Webster, TX 77598
Phone (281) 338-1881

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGHFBA

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1134318769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57831",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775987831",
            "telephone_number": "281-557-0001",
            "fax_number": "281-554-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD STE 308",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984233",
            "telephone_number": "281-557-0001",
            "fax_number": "281-554-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNAID A. KHAN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JUNAID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-557-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.