Active NPI
Rizwan H Khan, DO
- Interventional Pain Medicine Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- L6463
- Practice address
- 3500 Hillcrest Dr Ste 1
Waco, TX 76708-3144 - Phone
- (254) 741-6641
- Fax
- (254) 537-4693
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | L6463 | TX | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | L6463 | TX | |
| Interventional Pain Medicine Physician | 208VP0014X | L6463 | TX | Primary |
Addresses
Primary practice location
3500 Hillcrest Dr Ste 1
Waco, TX 76708-3144
Mailing address
2000 S Mays St Ste 201
Round Rock, TX 78664-7580
Phone (512) 244-4272
Other practice location 1
2000 S Mays St Ste 201
Round Rock, TX 78664-7580
Phone (512) 244-4272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172757001 | Medicaid | TX |
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
- Interventional Pain Management
- Education
- University of North Texas HSC, College of Osteopathic Med, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4800 Federal PLZ
Houston, TX 77092-1704
Phone (713) 462-3194
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6463 | TX | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Anesthesia Providers PLLC | Anesthesiology | Current | Accepting new patients |
| Texas Regional Physicians | Interventional Pain Medicine | Current | Accepting new patients |
| Texans Anesthesia Associates PLLC | Anesthesiology | Past | Accepting new patients |
Locations
4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500
1246 N FM 3083 Rd W
Ste D
Conroe, TX 77304
Phone (936) 220-0090
4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428
4800 Federal Plz
Houston, TX 77092
Phone (713) 462-3194
8301 Katy Fwy
Ste 101
Houston, TX 77024
Phone (713) 489-1741
1631 North Loop W
Ste 300
Houston, TX 77008
Phone (713) 343-1080
17750 Cali Dr
Houston, TX 77090
Phone (281) 586-7600
8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338
Phone (281) 592-5400
111 Vision Park Blvd
Ste 200
Shenandoah, TX 77384
Phone (936) 242-1924
26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117
25305 Interstate 45
The Woodlands, TX 77380
Phone (281) 868-7246
26710 N Freeway
Ste B100
The Woodlands, TX 77386
Phone (281) 369-9001
15860 Old Conroe Rd
The Woodlands, TX 77384
Phone (936) 253-1830
Interoperability endpoints
- rizwan.khan@2920.securemail.prognocis.com
- https://api.platform.athenahealth.com/25596/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/HAIDBD/Endpoint/HAIDBD
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.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1083154249
-
- Anesthesiology Physician
- Houston, TX
- NPI 1346752326
-
- Interventional Pain Medicine Physician
- Houston, TX
- NPI 1467011643
-
- Anesthesiology Physician
- Webster, TX
- NPI 1275733982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1346390671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 S MAYS ST STE 201",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786647580",
"telephone_number": "512-244-4272",
"fax_number": "512-244-2895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 HILLCREST DR STE 1",
"city": "WACO",
"state": "TX",
"postal_code": "767083144",
"telephone_number": "254-741-6641",
"fax_number": "254-537-4693"
}
],
"practiceLocations": [
{
"address_1": "2000 S Mays St Ste 201",
"address_purpose": "LOCATION",
"city": "Round Rock",
"state": "TX",
"postal_code": "786647580",
"country_code": "US",
"telephone_number": "512-244-4272",
"fax_number": "512-244-2895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "RIZWAN",
"middle_name": "H",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "L6463",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "L6463",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "L6463",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172757001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.