NPIMap

Individual provider Active NPI

Nabeel A Khan, M.D.

  • Internal Medicine Physician
  • Huntsville, TX
National Provider Identifier
1144218066
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L4019 Issued in TX
Practice address
130 Medical Center Pkwy
Suite 1
Huntsville, TX 77340-4942
Phone
(936) 291-8205
Fax
(936) 291-3862
NPI assigned
Oct 13, 2005
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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 L4019 TX Primary

Addresses

Primary practice location

130 Medical Center Pkwy
Suite 1
Huntsville, TX 77340-4942

Mailing address

130 Medical Center Pkwy
Suite 1
Huntsville, TX 77340-4942
Phone (936) 291-8205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103001064 TX Practitioner - Internal Medicine 9739141474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 Medical Ctr Pkwy
Suite 1
Huntsville, TX 77340-4943
Phone (936) 291-8205

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nabeel Khan, MD PA Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Acs Primary Care Physicians Southwest, PA Internal Medicine Past Accepting new patients

Locations

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

130 Medical Center Pkwy
Ste 1
Huntsville, TX 77340
Phone (936) 291-8205

Interoperability endpoints

  • Direct secure messaging: hmhnkhan@yourcarecommunity.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/DECJCD/Endpoint/DECJCD

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
St. Joseph Hospice of Conroe TexasConroe, TX, CCN 671765 Hospice Contracted Managing Employee Mar 28, 2016

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 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1144218066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MEDICAL CENTER PKWY",
            "address_2": "SUITE 1",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404942",
            "telephone_number": "936-291-8205",
            "fax_number": "936-291-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MEDICAL CENTER PKWY",
            "address_2": "SUITE 1",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404942",
            "telephone_number": "936-291-8205",
            "fax_number": "936-291-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NABEEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

Verify at the official NPI Registry.