Individual provider Active NPI

Laeeq Ahmad Khan, M.D.,F.A.A.P.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1235139031
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E7139 Issued in TX
Practice address
17202 Red Oak Dr
Suite 303
Houston, TX 77090-2647
Phone
(281) 440-9500
Fax
(281) 440-3715
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E7139 TX Primary

Addresses

Primary practice location

17202 Red Oak Dr
Suite 303
Houston, TX 77090-2647

Mailing address

17202 Red Oak Dr
Suite 303
Houston, TX 77090-2647
Phone (281) 440-9500

Other identifiers 1

IdentifierTypeStateIssuer
121100501MedicaidTX

Other names 1

  • Dr. Lee Ahmad Khan Former name

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
I20160217001134 TX Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8729383419

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
L.a. Khan, M.D., P.a. Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHCJAA

Organizations & group practices 1

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1235139031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17202 RED OAK DR",
            "address_2": "SUITE 303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902647",
            "telephone_number": "281-440-9500",
            "fax_number": "281-440-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17202 RED OAK DR",
            "address_2": "SUITE 303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902647",
            "telephone_number": "281-440-9500",
            "fax_number": "281-440-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "LAEEQ",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.A.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E7139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121100501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE",
            "last_name": "KHAN",
            "middle_name": "AHMAD",
            "prefix": "DR.",
            "credential": "M.D.,F.A.A.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.