Active NPI
Shumaila Nooruddin Khawja, MD
- Surgery Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- T2903
- Practice address
- 4310 James Casey St Ste 3C
Austin, TX 78745-1120 - Phone
- (512) 244-0766
- Fax
- (512) 244-1013
- NPI assigned
- Apr 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2019034145 | MO | |
| Surgical Critical Care Physician | 2086S0102X | T2903 | TX | |
| Surgical Critical Care Physician | 2086S0102X | 2019034145 | MO | |
| Surgery Physician | 208600000X | T2903 | TX | Primary |
Addresses
Primary practice location
4310 James Casey St Ste 3C
Austin, TX 78745-1120
Mailing address
4310 James Casey St Ste 3C
Austin, TX 78745-1120
Phone (512) 244-0766
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Baylor College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 N Ih 35
Austin, TX 78701-1926
1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300
201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (512) 324-4000
505 W Louis Henna Blvd
Suite 220
Austin, TX 78728-1703
Phone (512) 498-4860
6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000
Hospital & facility affiliations
- Ascension Seton Williamson
- Ascension Seton Cedar Park
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019034145 | MO | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Bariatric Surgeons PLLC | Surgery | Current | Accepting new patients |
| Capital Surgeons Group, PLLC | Surgery | Current | Accepting new patients |
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Texas Acute Care Surgery LLC | Surgery | Current | Accepting new patients |
Locations
3705 Medical Pkwy
Ste 250
Austin, TX 78705
Phone (512) 302-1210
3705 Medical Pkwy
Ste 210
Austin, TX 78705
Phone (512) 338-5024
5625 Eiger Rd
Ste 230
Austin, TX 78735
Phone (512) 441-7755
4310 James Casey St
Ste 3C
Austin, TX 78745
Phone (512) 244-0766
505 W Louis Henna Blvd
Ste 220
Austin, TX 78728
Phone (512) 498-4860
4207 James Casey St
Ste 304
Austin, TX 78745
Phone (512) 402-5806
1401 Medical Pkwy
Ste 100
Cedar Park, TX 78613
Phone (512) 244-0766
3201 S Austin Ave
Ste 215
Georgetown, TX 78626
Phone (512) 836-2536
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1180 Seton Pkwy
Ste 270
Kyle, TX 78640
Phone (512) 268-0800
16020 Park Valley Dr
Round Rock, TX 78681
Phone (512) 244-0766
1305 Wonder World Dr
Ste 100
San Marcos, TX 78666
Phone (512) 353-8658
2100 Lake Shore Dr
Ste 220
Waco, TX 76708
Phone (512) 302-1210
Interoperability endpoints
- https://api.platform.athenahealth.com/22422/brand/1/csg/1/fhir/r4
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.
-
- Surgery Physician
- Austin, TX
- NPI 1891745592
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
- Surgery Physician
- Austin, TX
- NPI 1699430298
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
-
- Surgery Physician
- Austin, TX
- NPI 1700836756
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Round Rock, TX
- NPI 1578780870
-
- General Acute Care Hospital
- Cedar Park, TX
- NPI 1376662296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1326466384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 JAMES CASEY ST STE 3C",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451120",
"telephone_number": "512-244-0766",
"fax_number": "512-244-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 JAMES CASEY ST STE 3C",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451120",
"telephone_number": "512-244-0766",
"fax_number": "512-244-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAWJA",
"first_name": "SHUMAILA",
"middle_name": "NOORUDDIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-06",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2019034145",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "TX",
"license": "T2903",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MO",
"license": "2019034145",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "T2903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.