Individual provider Active NPI

Kashif Zafar Khan, MD

  • Occupational Medicine Physician
  • Freeport, TX
National Provider Identifier
1164514352
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
M7328 Issued in TX
Practice address
2301 N Brazosport Blvd
Freeport, TX 77541-3257
Phone
(979) 238-5411
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 48476-020 WI
Occupational Medicine Physician 2083X0100X 22259 WV
Occupational Medicine Physician 2083X0100X 48476-20 WI
Occupational Medicine Physician 2083X0100X M7328 TX Primary
Family Medicine Physician 207Q00000X M7328 TX
Family Medicine Physician 207Q00000X 22259 WV

Addresses

Primary practice location

2301 N Brazosport Blvd
Freeport, TX 77541-3257

Mailing address

1606 Coleridge St
Sugar Land, TX 77479-6697
Phone (832) 623-1716

Other practice location 1

2495 Shreveport Hwy
Pineville, LA 71360-4044
Phone (318) 473-0010

Other practice location 2

3353 University Pkwy
Leesville, LA 71446-9041
Phone (337) 392-3800

Other practice location 3

3500 South Terminal Rd
Houston, TX 77032
Phone (281) 553-1700

Other practice location 4

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-4997

Other practice location 5

2727 W Holcombe Blvd
Houston, TX 77025-1669
Phone (713) 442-0000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090828000232 TX Practitioner - Preventive MedicinePractitioner - Family Practice 6608921515 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48476-020WIMDFamily Medicine Physician
22259WVMDFamily Medicine Physician
M7328TXMDOccupational Medicine Physician
48476-20WIMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey-Seybold Medical Group, PLLC Family Medicine CurrentSince Jul 25, 2022 Accepting new patients

Locations

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

201 Enterprise Ave
Ste 900
League City, TX 77573
Phone (713) 442-2826

7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200

2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200

11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1164514352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 COLERIDGE ST",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796697",
            "telephone_number": "832-623-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N BRAZOSPORT BLVD",
            "city": "FREEPORT",
            "state": "TX",
            "postal_code": "775413257",
            "telephone_number": "979-238-5411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2495 Shreveport Hwy",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "LA",
            "postal_code": "713604044",
            "country_code": "US",
            "telephone_number": "318-473-0010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3353 University Pkwy",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "714469041",
            "country_code": "US",
            "telephone_number": "337-392-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 South Terminal Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77032",
            "country_code": "US",
            "telephone_number": "281-553-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11511 Shadow Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775847298",
            "country_code": "US",
            "telephone_number": "713-442-4997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2727 W Holcombe Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770251669",
            "country_code": "US",
            "telephone_number": "713-442-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "KASHIF",
        "middle_name": "ZAFAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "48476-020",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "WV",
            "license": "22259",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "WI",
            "license": "48476-20",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "M7328",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M7328",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "22259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, TX

Sources for this page

Verify at the official NPI Registry.