Hisham Khan

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

R7505 Issued in TX

Practice address

1320 Wonder World Dr Ste 106
San Marcos, TX 78666-7558

Phone

(512) 851-1165

NPI assigned

Jun 18, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Pain ManagementAlso: Anesthesiology, Interventional Pain Management

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lone Star Spine and Pain Institute PLLCGroup PAC ID 4486032349, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26539/brand/1/csg/1/fhir/r4
• Direct secure messaging: hisham.khan.1@26539.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/AJGGCD

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.

• Lone Star Spine and Pain Institute PLLC

  • Interventional Pain Medicine Physician
  • San Marcos, TX
  • NPI 1851036347

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Gastromedconnect, PLLC

  • Gastroenterology Physician
  • Kyle, TX
  • NPI 1639852189

  Single Specialty

  NPD (past)
• Water Leaf Surgery Center, LTD

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1437505948
  NPD (past)
• Pain Zero, LLC

  • Interventional Pain Medicine Physician
  • New Albany, OH
  • NPI 1912652603

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Santa Rosa Health Care Corporation

  • General Acute Care Hospital
  • New Braunfels, TX
  • NPI 1114725033
  Care Compare affiliation
• Christus Santa Rosa Health Care Corporation

  • General Acute Care Hospital
  • San Marcos, TX
  • NPI 1447883301
  Care Compare affiliation

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1366881815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WONDER WORLD DR STE 106",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WONDER WORLD DR STE 106",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667558",
            "telephone_number": "512-851-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "HISHAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "R7505",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.128717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Kepczyk, M.D.
• Kaycie Brooke Kerby
• Annmarie Kessler
• Jacob Keup, AUD
• Addison Rose Key
• Jamshaid Aslam Khan, DDS
• Fong Yong Jane Khor, MPT
• Niloofar Khosravian
• Pedram Khosravian, D.M.D.
• Pejman Khosravian, D.M.D

• Pain Medicine (Anesthesiology) Physician in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.