Active NPI
Kamran Kheder, MD
- Family Medicine Physician
- Katy, TX
National Provider Identifier
1346829173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.148228
- Practice address
- 3919 Fry Rd
Katy, TX 77449-6731 - Phone
- (281) 646-2273
- Fax
- (281) 646-9511
- NPI assigned
- Apr 7, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.148228 | OH | Primary |
| Family Medicine Physician | 207Q00000X | U7702 | TX |
Addresses
Primary practice location
3919 Fry Rd
Katy, TX 77449-6731
Mailing address
3919 Fry Rd
Katy, TX 77449-6731
Phone (281) 646-2273
Other practice location 1
297 N Main St Ste 7
Munroe Falls, OH 44262-1077
Phone (713) 972-0092
Other names 1
- Kamran Khederzadeh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Plus Clinic, PA | Family Medicine | Current | Accepting new patients |
| Family Care Plus Clinic LLC | Family Medicine | Current | Accepting new patients |
Locations
297 N Main St
Ste 7
Munroe Falls, OH 44262
Phone (330) 765-4141
3919 Fry Rd
Katy, TX 77449
Phone (281) 646-2273
Interoperability endpoints
- kamran.kheder.2@17800.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Katy, TX
- NPI 1912086190
-
- Family Medicine Physician
- Munroe Falls, OH
- NPI 1669086260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1346829173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3919 FRY RD",
"city": "KATY",
"state": "TX",
"postal_code": "774496731",
"telephone_number": "281-646-2273",
"fax_number": "281-646-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3919 FRY RD",
"city": "KATY",
"state": "TX",
"postal_code": "774496731",
"telephone_number": "281-646-2273",
"fax_number": "281-646-9511"
}
],
"practiceLocations": [
{
"address_1": "297 N Main St Ste 7",
"address_purpose": "LOCATION",
"city": "Munroe Falls",
"state": "OH",
"postal_code": "442621077",
"country_code": "US",
"telephone_number": "713-972-0092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHEDER",
"first_name": "KAMRAN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-07",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.148228",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "U7702",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAMRAN",
"last_name": "KHEDERZADEH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.