Individual provider Active NPI

Naeem Ullah Khan, MD

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1316990765
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L6235 Issued in TX
Practice address
1915 Coulter St
Amarillo, TX 79106
Phone
(806) 352-5400
Fax
(806) 352-8555
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L6235 TX Primary

Addresses

Primary practice location

1915 Coulter St
Amarillo, TX 79106

Mailing address

1915 S Coulter St
Amarillo, TX 79106-1780
Phone (806) 352-5400

Other identifiers 1

IdentifierTypeStateIssuer
162675609MedicaidTX

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
I20040204000807 TX Practitioner - Family PracticePractitioner - General PracticePractitioner - Emergency Medicine 4486547353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amarillo Urgent Care LLCGroup PAC ID 4981791613, 5 clinicians

Practice addresses (Care Compare)

1915 S Coulter St
Amarillo, TX 79106-3705
Phone (806) 352-5400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6235TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amarillo Primary Care PLLC Family Medicine PastSince Aug 1, 2007 Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Presentation Medical Center Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1316990765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061780",
            "telephone_number": "806-352-5400",
            "fax_number": "805-352-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79106",
            "telephone_number": "806-352-5400",
            "fax_number": "806-352-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NAEEM",
        "middle_name": "ULLAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162675609",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.