Organization Active NPI

Clinic for Cardiovascular Care

  • Cardiovascular Disease Physician
  • Tomball, TX
National Provider Identifier
1386632115
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CLINIC FOR CARDIOVASCULAR CARE
Practice address
400 Holderrieth Blvd
Ste 104
Tomball, TX 77375-4543
Phone
(281) 251-2000
Fax
(281) 378-5918
NPI assigned
Oct 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Authorized official

Name
Dr. Waqar A Khan, MDNPI 1811971914
Title
Medical Director
Phone
(281) 255-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X
Nuclear Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207UN0901X

Addresses

Primary practice location

400 Holderrieth Blvd
Ste 104
Tomball, TX 77375-4543

Mailing address

400 Holderrieth Blvd
Ste 104
Tomball, TX 77375-4552
Phone (281) 255-2000

Other identifiers 1

IdentifierTypeStateIssuer
DC4545OtherTXRAILROAD MEDICARE

Other names 1

  • Lone Star Heart and Vascular Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050125001044 TX Part B Supplier - Clinic/Group Practice 2961468897 Receives reassigned benefits from 3 practitioners
Practice locations: Tomball, TX

National Provider Directory

National Provider Directory

Locations

17198 St Lukes Way
Ste 630
The Woodlands, TX 77384
Phone (936) 271-3668

506 Graham Dr
Ste 230
Tomball, TX 77375
Phone (281) 205-7522

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1386632115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HOLDERRIETH BLVD",
            "address_2": "STE 104",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754552",
            "telephone_number": "281-255-2000",
            "fax_number": "281-378-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOLDERRIETH BLVD",
            "address_2": "STE 104",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754543",
            "telephone_number": "281-251-2000",
            "fax_number": "281-378-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC FOR CARDIOVASCULAR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "WAQAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-255-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC4545",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Star Heart and Vascular Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lone Star Heart and Vascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.