Individual provider Active NPI

Nehan Adil Khan, MD

  • Family Medicine Physician
  • Greenville, TX
National Provider Identifier
1295463909
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
W0629 Issued in TX
Practice address
4311 Wesley St
Greenville, TX 75401-5639
Phone
(903) 455-5958
Fax
(903) 454-4514
NPI assigned
Aug 10, 2022
Last updated
Sep 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 50393 AL
Family Medicine Physician 207Q00000X W0629 TX Primary

Addresses

Primary practice location

4311 Wesley St
Greenville, TX 75401-5639

Mailing address

PO Box 1908
Greenville, TX 75403-1908
Phone (903) 455-5958

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
I20250925004160 TX Practitioner - Family Practice 8224533617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4311 Wesley St
Greenville, TX 75401-5639
Phone (903) 455-5958

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50393ALMDFamily Medicine Physician
W0629TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Service Agency, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Community Health Service Agency, Inc. Current Accepting new patients
Community Health Service Agency, Inc. Family Medicine CurrentSince Sep 8, 2025 Accepting new patients
Community Health Service Agency, Inc. Past Accepting new patients

Locations

91 W Side Sq
Cooper, TX 75432
Phone (903) 395-0586

4311 Wesley St
Greenville, TX 75401
Phone (903) 455-5958

Interoperability endpoints

  • Direct secure messaging: nehan.khan.p4@direct.chsa.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1295463909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1908",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754031908",
            "telephone_number": "903-455-5958",
            "fax_number": "903-454-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 WESLEY ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015639",
            "telephone_number": "903-455-5958",
            "fax_number": "903-454-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NEHAN",
        "middle_name": "ADIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "50393",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "W0629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.