Individual provider Active NPI

Shifat Jabeen Khan, FNP-C

  • Family Nurse Practitioner
  • Bellaire, TX
National Provider Identifier
1194120527
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126669 Issued in TX
Practice address
6500 West Loop S Ste 200B
Bellaire, TX 77401-3535
Phone
(713) 486-6500
NPI assigned
Oct 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP126669 TX Primary

Addresses

Primary practice location

6500 West Loop S Ste 200B
Bellaire, TX 77401-3535

Mailing address

6500 West Loop S Ste 200B
Bellaire, TX 77401-3535

Other identifiers 1

IdentifierTypeStateIssuer
346375405MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616000584 TX Practitioner - Nurse Practitioner 8628389798 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kelsey-Seybold Medical Group, PLLCGroup PAC ID 9739093527, 941 clinicians

Practice addresses (Care Compare)

10701 Vintage Preserve Pkwy
Houston, TX 77070-2158
Phone (713) 442-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey-Seybold Medical Group, PLLC CurrentSince Oct 26, 2020 Accepting new patients
Ut Physicians Nurse Practitioner CurrentSince May 2, 2015 Accepting new patients
Ut Physicians Specialty Services CurrentSince Apr 1, 2017 Accepting new patients
Ut Physicians CurrentSince May 2, 2015 Accepting new patients

Locations

6500 West Loop S
Ste 200B
Bellaire, TX 77401
Phone (713) 486-2900

15655 Cypress Wood Medical Dr
Ste 100
Houston, TX 77014
Phone (713) 442-1700

6410 Fannin St
Ste 510
Houston, TX 77030
Phone (713) 500-5736

10701 Vintage Preserve Pkwy
Houston, TX 77070
Phone (713) 442-1500

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

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

1900 North Loop W
Ste 400
Houston, TX 77018
Phone (713) 442-3800

245 W Greens Rd
Houston, TX 77067
Phone (713) 486-5600

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1194120527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 WEST LOOP S STE 200B",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 WEST LOOP S STE 200B",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013535",
            "telephone_number": "713-486-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHIFAT",
        "middle_name": "JABEEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346375405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.