Jalil a Khan, MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J9128 Issued in TX

Legal business name

JALIL A KHAN, MD, PA

Practice address

502 North Valley Parkway
Suite 1
Lewisville, TX 75067-3437

Phone

(972) 353-8616

Fax

(972) 353-5352

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Jalil Aziz Khan, M. D.NPI 1821183435

Title

Owner

Phone

(972) 353-8616

Specialties & licenses 4

Addresses

Other identifiers 5

Other names 1

• Pri-Med Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jalil Aziz Khan, M.D.

  • Internal Medicine Physician
  • Lewisville, TX
  • NPI 1821183435
  Medicare reassignment Care Compare group NPD Authorized official
• Reena Mathew

  • Family Nurse Practitioner
  • Lewisville, TX
  • NPI 1033550645
  Medicare reassignment Care Compare group NPD
• Sheeba George

  • Adult Health Nurse Practitioner
  • Lewisville, TX
  • NPI 1093146953
  Medicare reassignment NPD
• Rajwant Kaur I

  • Family Nurse Practitioner
  • Frisco, TX
  • NPI 1861995409
  Medicare reassignment NPD
• Babita Khatri, FNP

  • Nurse Practitioner
  • Arlington, TX
  • NPI 1144758020
  Medicare reassignment NPD
• Jaya Matharage, MSN

  • Family Nurse Practitioner
  • Flower Mound, TX
  • NPI 1205558251
  Medicare reassignment NPD
• Bhawana Pradhan

  • Family Nurse Practitioner
  • Lewisville, TX
  • NPI 1295252195
  Medicare reassignment NPD
• Tasneem Sapatwalla, APRN-FNP

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1710629506
  Medicare reassignment NPD
• Remi Thomas, FNP

  • Family Nurse Practitioner
  • Carrollton, TX
  • NPI 1962089052
  Medicare reassignment NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1255424859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 NORTH VALLEY PARKWAY",
            "address_2": "SUITE 1",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673437",
            "telephone_number": "972-353-8616",
            "fax_number": "972-353-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 NORTH VALLEY PARKWAY",
            "address_2": "SUITE 1",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673437",
            "telephone_number": "972-353-8616",
            "fax_number": "972-353-5352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 W Royal Ln",
            "address_2": "Ste 230",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750393901",
            "country_code": "US",
            "telephone_number": "972-353-8616",
            "fax_number": "972-353-5352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JALIL A KHAN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JALIL",
        "authorized_official_middle_name": "AZIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-353-8616",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L7013",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9128",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2732",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1451080-07",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "066DQ",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699985-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1274664-06",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442063-14",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pri-Med Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pri-Med Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaime Jacobs
• Melissa Jacobson
• Masoud Jafari
• Anjana S. Jagalur, M.D.
• Jakpa Healthcare Inc
• Rahma Shukri Jama-Grupp
• Kayla Jaquez, MOT
• Jason Jorgensen, DO, PLLC
• Saghar Javanshir-Behroozi, PT
• Veronica Javier-Vong, PT, DPT

• Internal Medicine Physician in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.