NPIMap

Individual provider Active NPI

Asad Khan, MD

  • Nephrology Physician
  • Bryan, TX
National Provider Identifier
1154483949
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N2142 Issued in TX
Practice address
2110 E Villa Maria Rd
Bryan, TX 77802-2542
Phone
(979) 402-3152
Fax
(979) 822-3333
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X N2142 TX Primary

Addresses

Primary practice location

2110 E Villa Maria Rd
Bryan, TX 77802-2542

Mailing address

2110 E Villa Maria Rd
Bryan, TX 77802-2542
Phone (979) 402-3152

Other identifiers 1

IdentifierTypeStateIssuer
3810009268MedicaidWV

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
I20090813000557 TX Practitioner - Nephrology 5799886180 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Kidney Center PLLCGroup PAC ID 6901950740, 2 clinicians

Practice addresses (Care Compare)

2110 E Villa Maria Rd
Bryan, TX 77802-2542
Phone (979) 822-5555

Hospital & facility affiliations

  • DaVita Rock Prairie Road Dialysis Dialysis facility, College Station, TX, CCN 672504
  • DaVita Briarcrest Dialysis Dialysis facility, Bryan, TX, CCN 452550
  • DaVita Brenham Dialysis Dialysis facility, Brenham, TX, CCN 452641
  • Concho Hearts Hospice, LLC Hospice, San Angelo, TX, CCN 971627
  • Acara Hospice Hospice, College Station, TX, CCN 971712
  • CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011
  • Baylor Scott & White Hospital Brenham Hospital, Brenham, TX, CCN 451397
  • Bellville Medical Center Hospital, Bellville, TX, CCN 450253
  • Madison St Joseph Health Center Hospital, Madisonville, TX, CCN 451316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N2142TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Nov 1, 2018 Accepting new patients
Cogent Healthcare of Texas, PA CurrentSince Oct 1, 2019 Accepting new patients
Bryan Kidney Center PLLC CurrentSince Mar 20, 2009 Accepting new patients
Primrose Dialysis, LLC PastSince Jan 23, 2015 Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

2110 E Villa Maria Rd
Bryan, TX 77802
Phone (979) 402-3152

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

Interoperability endpoints

  • Direct secure messaging: akhan047@yourcarecommunity.org

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 11

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1154483949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 E VILLA MARIA RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022542",
            "telephone_number": "979-402-3152",
            "fax_number": "979-822-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E VILLA MARIA RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022542",
            "telephone_number": "979-402-3152",
            "fax_number": "979-822-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ASAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N2142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810009268",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.