Individual provider Active NPI

Abul Nasser Khan, MD

  • Interventional Cardiology Physician
  • Dallas, TX
National Provider Identifier
1265562110
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
T1411 Issued in TX
Practice address
221 W. Colorado Blvd
Pavilion II Suite 831
Dallas, TX 75208-9313
Phone
(214) 933-7430
Fax
(214) 947-8609
NPI assigned
Mar 7, 2007
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD-37012 IA
Interventional Cardiology Physician 207RI0011X MD-37012 IA
Interventional Cardiology Physician 207RI0011X T1411 TX Primary
Nuclear Cardiology Physician 207UN0901X MD-37012 IA

Addresses

Primary practice location

221 W. Colorado Blvd
Pavilion II Suite 831
Dallas, TX 75208-9313

Mailing address

221 W. Colorado Blvd
Pavilion II Suite 831
Dallas, TX 75208-9313
Phone (214) 933-7430

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616001302 TX Practitioner - Interventional Cardiology 3173623097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

221 W Colorado Blvd
Suite 831
Dallas, TX 75208-2361
Phone (214) 946-8856

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-37012IAMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Jun 11, 2021 Accepting new patients
Medhealth CurrentSince Jun 11, 2021 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

221 W Colorado Blvd
Ste 831
Dallas, TX 75208
Phone (214) 942-0091

2203 W Lampasas St
Ste 218
Ennis, TX 75119
Phone (972) 296-4458

4560 Lake Ridge Pkwy
Ste 300
Grand Prairie, TX 75052
Phone (214) 278-5000

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: akhan153291@dm.mhd.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1265562110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W. COLORADO BLVD",
            "address_2": "PAVILION II SUITE 831",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752089313",
            "telephone_number": "214-933-7430",
            "fax_number": "214-947-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W. COLORADO BLVD",
            "address_2": "PAVILION II SUITE 831",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752089313",
            "telephone_number": "214-933-7430",
            "fax_number": "214-947-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABUL",
        "middle_name": "NASSER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2021-07-26",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "MD-37012",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IA",
            "license": "MD-37012",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "T1411",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "IA",
            "license": "MD-37012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.