Active NPI
Adnan Khan, MD
- Family Medicine Physician
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N0159
- Practice address
- 425 University Blvd
Round Rock, TX 78665-1047 - Phone
- (512) 509-0200
- NPI assigned
- May 17, 2006
- Last updated
- Jan 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME93504 | FL | |
| Family Medicine Physician | 207Q00000X | N0159 | TX | Primary |
Addresses
Primary practice location
425 University Blvd
Round Rock, TX 78665-1047
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111
Other practice location 1
810 W Highway 71
Marble Falls, TX 78654-8602
Phone (830) 201-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273191600 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | akhan11102@direct.sw.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10526 W Parmer LN BLDG
4 Baylor Scott and White Clinic Austi
Austin, TX 78717-4873
Phone (512) 310-4700
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
425 University Blvd
Round Rock, TX 78665-1053
Phone (512) 509-0200
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N0159 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Emergency Medicine | Current | Accepting new patients |
| Scott & White Clinic | Emergency Medicine | Current | Accepting new patients |
| Scott & White Clinic | Emergency Medicine | Current | Accepting new patients |
| Scott & White Hospital - Round Rock | Past | Accepting new patients | |
| Central Florida Vascular Center, PA | Past | Accepting new patients | |
| Santa Rosa Hma Physician Management, LLC | Family Medicine | Past | Accepting new patients |
| Hma Santa Rosa Medical Center LLC | Past | Accepting new patients | |
| West Orange Physicians Group, LLC | Past | Accepting new patients | |
| Scott & White Hospital - Taylor | Emergency Medicine | Past | Accepting new patients |
Locations
101 E Jackson St
Burnet, TX 78611
Phone (512) 756-7510
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550
810 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100
1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000
425 University Blvd
Round Rock, TX 78665
Phone (512) 509-0100
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
Interoperability endpoints
- akhan11102@direct.sw.org
Organizations & group practices 9
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.
-
dba Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
Emergency Medicine
-
- Internal Medicine Physician
- College Station, TX
- NPI 1922061993
Emergency Medicine
-
dba Baylor Scott & White Medical Center - Round Rock
- General Acute Care Hospital
- Round Rock, TX
- NPI 1265568638
-
dba Baylor Scott & White Medical Center - Taylor
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
-
dba Lumina Vein & Aesthetic Institute
- Vascular Surgery Physician
- Windermere, FL
- NPI 1396304960
-
dba Santa Rosa Medical Center
- General Acute Care Hospital
- Milton, FL
- NPI 1528015302
-
- Family Medicine Physician
- Milton, FL
- NPI 1447365366
-
- General Practice Physician
- Ocoee, FL
- NPI 1578790432
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Round Rock
- General Acute Care Hospital
- Round Rock, TX
- NPI 1265568638
-
dba Baylor Scott & White Medical Center - Taylor
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
Hospital
-
dba Baylor Scott & White Medical Center - Taylor
- Critical Access Hospital
- Taylor, TX
- NPI 1962497800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1184676942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 UNIVERSITY BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651047",
"telephone_number": "512-509-0200"
}
],
"practiceLocations": [
{
"address_1": "810 W Highway 71",
"address_purpose": "LOCATION",
"city": "Marble Falls",
"state": "TX",
"postal_code": "786548602",
"country_code": "US",
"telephone_number": "830-201-7100",
"fax_number": "830-201-7336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "ADNAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME93504",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N0159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273191600",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akhan11102@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "425 University Blvd",
"city": "Round Rock",
"state": "TX",
"country_code": "US",
"postal_code": "786651047",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.