Individual provider Active NPI

Samaira J Khan, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Georgetown, TX
National Provider Identifier
1376835439
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
R1563 Issued in TX
Practice address
2000 Scenic Dr
Georgetown, TX 78626-7726
Phone
(917) 628-6617
NPI assigned
May 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X R1563 TX Primary
Physical Medicine & Rehabilitation Physician 208100000X 275112 NY

Addresses

Primary practice location

2000 Scenic Dr
Georgetown, TX 78626-7726

Mailing address

PO Box 5703
Round Rock, TX 78683-5703
Phone (512) 308-3969

Other practice location 1

550 1st Ave
New York, NY 10016-6402
Phone (212) 263-5506

Other practice location 2

2400 Round Rock Ave
Round Rock, TX 78681-4004
Phone (512) 341-1000

Other practice location 3

1623 W New Hope Dr
Cedar Park, TX 78613-6018
Phone (512) 259-3999

Other practice location 4

16219 Ranch Road 620 N
Austin, TX 78717-5209
Phone (512) 520-1834

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
I20180227001709 TX Practitioner - Physical Medicine and Rehabilitation 5496977571 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (512) 942-4700

Hospital & facility affiliations

  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • North Austin Medical Center Hospital, Austin, TX, CCN 450809
  • Ascension Seton Williamson Hospital, Round Rock, TX, CCN 670041
  • North Austin Medical Center Inpatient rehabilitation facility, Austin, TX, CCN 45T809
  • St Davids Medical Center Inpatient rehabilitation facility, Austin, TX, CCN 45T431
  • Round Rock Inpt Rehab Unit Inpatient rehabilitation facility, Round Rock, TX, CCN 45T718

Merit-based Incentive Payment System (MIPS)

Final score
53.03 of 100Reported as individual
Quality
69.33
Improvement activities
0
Cost
72.04

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1563TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2018 Accepting new patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2018 Accepting new patients
Samaira Khan DO, PLLC Physical Medicine & Rehabilitation CurrentSince Dec 25, 2018 Accepting new patients
Post-Acute Physicians of Texas PLLC Physical Medicine & Rehabilitation CurrentSince Mar 1, 2025 Accepting new patients

Locations

16219 Ranch Road 620 N
Austin, TX 78717
Phone (512) 520-1834

11020 Dessau Rd
Austin, TX 78754
Phone (512) 871-2244

1855 Cheyenne Dr
Carrollton, TX 75010
Phone (512) 310-7300

1623 W New Hope Dr
Cedar Park, TX 78613
Phone (512) 259-3999

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051

1737 North Loop W
Houston, TX 77008
Phone (713) 867-5551

3625 Green Crest Dr
Houston, TX 77082
Phone (281) 558-1166

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

5980 Kyle Pkwy
Kyle, TX 78640
Phone (512) 262-0821

2000 Medical Dr
Lakeway, TX 78734
Phone (512) 263-4500

8300 Eldorado Pkwy
McKinney, TX 75070
Phone (972) 548-9339

7675 Memorial Blvd
Ste 600
Port Arthur, TX 77640
Phone (409) 721-6912

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

333 Matlage Way
Sugar Land, TX 77478
Phone (281) 491-2226

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1376835439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5703",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786835703",
            "telephone_number": "512-308-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SCENIC DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267726",
            "telephone_number": "917-628-6617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "212-263-5506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Round Rock Ave",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786814004",
            "country_code": "US",
            "telephone_number": "512-341-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1623 W New Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786136018",
            "country_code": "US",
            "telephone_number": "512-259-3999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16219 Ranch Road 620 N",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787175209",
            "country_code": "US",
            "telephone_number": "512-520-1834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAMAIRA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "R1563",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "275112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.