Individual provider Active NPI

Adeel Khan, DO

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1134580350
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP10055296 Issued in TX
Practice address
13393 Determine Dr
Frisco, TX 75035-1560
Phone
(682) 288-2781
NPI assigned
Mar 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10055296 TX Primary

Addresses

Primary practice location

13393 Determine Dr
Frisco, TX 75035-1560

Mailing address

13393 Determine Dr
Frisco, TX 75035-1560
Phone (817) 706-0783

Other practice location 1

1650 W College St
Grapevine, TX 76051-3565
Phone (817) 476-2676

Other identifiers 1

IdentifierTypeStateIssuer
BP10055296MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MD2 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
I20190808000147 TX Practitioner - Internal Medicine 3577853811 Reassigns benefits to 2 organizations
I20230104002980 MD Practitioner - Internal MedicinePractitioner - Hospitalist 3577853811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bella Healthcare LP 2 clinicians
Healthtexas Provider Network 2,535 clinicians

Practice addresses (Care Compare)

13393 Determine Dr
Frisco, TX 75035-1560
Phone (817) 599-1269

1650 W College St
150 Baylor Scott and White Hospital Medicine
Grapevine, TX 76051-3565
Phone (817) 388-3440

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563
  • Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064
  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
  • Kindred Hospital-Tarrant County Long-term care hospital, Arlington, TX, CCN 452028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10055296TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Healthcare LP Internal Medicine CurrentSince Jul 15, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 16, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 16, 2023 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Sep 13, 2022 Accepting new patients
Baylor Regional Medical Center at Grapevine Past Accepting new patients

Locations

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

1650 W College St
Ste 150
Grapevine, TX 76051
Phone (817) 338-3440

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: adeel.khan@hca7.eclinicaldirectplus.com
  • Direct secure messaging: akhan1136646@direct.sw.org
  • Direct secure messaging: akhan115414@ahs.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Remington Transitional Care of RichardsonRichardson, TX, CCN 676243 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1134580350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13393 DETERMINE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750351560",
            "telephone_number": "817-706-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13393 DETERMINE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750351560",
            "telephone_number": "682-288-2781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 W College St",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760513565",
            "country_code": "US",
            "telephone_number": "817-476-2676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ADEEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-15",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10055296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BP10055296",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.