Individual provider Active NPI

Arif Basir Khan

  • Interventional Pain Medicine Physician
  • Richardson, TX
National Provider Identifier
1386662567
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
L5788 Issued in TX
Practice address
2201 N Central Expy
Suite 171
Richardson, TX 75080-2754
Phone
(972) 952-0290
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L5788 TX
Interventional Pain Medicine Physician 208VP0014X L5788 TX Primary

Addresses

Primary practice location

2201 N Central Expy
Suite 171
Richardson, TX 75080-2754

Mailing address

PO Box 650823
Dallas, TX 75265-0823
Phone (972) 952-0290

Other identifiers 1

IdentifierTypeStateIssuer
8J1500OtherTXBLUE CROSS BLUE SHIELD

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
I20040112000470 TX Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 0244130540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2201 N Central Expressway
Suite 171
Richardson, TX 75080-2754

2201 N Central Expy
Suite 171
Richardson, TX 75080-2720
Phone (972) 952-0290

2201 N Central Expy
Suite 171
Richardson, TX 75080-2754

Hospital & facility affiliations

  • Baylor Scott and White Medical Center Sunnyvale Hospital, Sunnyvale, TX, CCN 670060
  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073
  • Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Interventional Pain Care, P.a. Interventional Pain Medicine CurrentSince Jun 1, 2003 Accepting new patients

Locations

4800 N Galloway Ave
Ste 300
Mesquite, TX 75150
Phone (972) 587-9846

2201 N Central Expy
Ste 171
Richardson, TX 75080
Phone (972) 952-0290

Organizations & group practices 1

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 4

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1386662567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650823",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650823",
            "telephone_number": "972-952-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N CENTRAL EXPY",
            "address_2": "SUITE 171",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802754",
            "telephone_number": "972-952-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ARIF",
        "middle_name": "BASIR",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L5788",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "L5788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8J1500",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.