Individual provider Active NPI

Adnan Nazir Khan, DO

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1184010613
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R5879 Issued in TX
Practice address
2606 Hospital Blvd
Corpus Christi, TX 78405
Phone
(361) 902-6570
Fax
(361) 881-1467
NPI assigned
Apr 10, 2015
Last updated
May 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R5879 TX Primary

Addresses

Primary practice location

2606 Hospital Blvd
Corpus Christi, TX 78405

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

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
I20180525001808 TX Practitioner - Emergency Medicine 1658636428 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5879TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conner Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jun 13, 2018 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2606 Hospital Blvd
Corpus Christi, TX 78405
Phone (361) 902-4151

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000

7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1184010613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 HOSPITAL BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78405",
            "telephone_number": "361-902-6570",
            "fax_number": "361-881-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ADNAN",
        "middle_name": "NAZIR",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R5879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.