Active NPI
Rashad Mumtaz Khan, M.D.
- Hematology & Oncology Physician
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- T1414
- Practice address
- 1400 N 4TH St
Longview, TX 75601-4756 - Phone
- (903) 757-2122
- Fax
- (903) 757-9475
- NPI assigned
- May 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | T1414 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hematology & Oncology Physician | 207RH0003X | T1414 | TX | Primary |
Addresses
Primary practice location
1400 N 4TH St
Longview, TX 75601-4756
Mailing address
PO Box 911230
Dallas, TX 75391-1242
Phone (972) 997-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1300 N 4TH St
Longview, TX 75601-4717
Phone (903) 757-2122
Hospital & facility affiliations
- Christus Good Shepherd Medical Center
- Longview Regional Medical Center
- Medical Center of McKinney
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Associates of Syracuse, PC | Current | Accepting new patients | |
| Crouse Health Hospital, Inc. | Current | Accepting new patients | |
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Crouse Health Hospital Inc | Current | Accepting new patients | |
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
Locations
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
1400 N 4th St
Longview, TX 75601
Phone (903) 753-3331
1300 N 4th St
Longview, TX 75601
Phone (903) 757-2122
4510 Medical Center Dr
Ste 215
McKinney, TX 75069
Phone (469) 952-5007
Interoperability endpoints
- rashad.khan@txo.ikm.direct-ci.com
- rkhan253118@direct.bilh.masshiway.net
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1841340205
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- Anatomic Pathology & Clinical Pathology Physician
- Syracuse, NY
- NPI 1629061791
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
-
- General Acute Care Hospital
- McKinney, TX
- NPI 1437102639
-
- General Acute Care Hospital
- Longview, TX
- NPI 1528026267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1235516725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911242",
"telephone_number": "972-997-8000",
"fax_number": "972-234-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756014756",
"telephone_number": "903-757-2122",
"fax_number": "903-757-9475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "RASHAD",
"middle_name": "MUMTAZ",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-04",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "T1414",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "T1414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.