Active NPI
Durreshahwar Khursheed Khan, M.D.
- Internal Medicine Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- Q8922
- Practice address
- 4515 Seton Center Pkwy
Austin, TX 78759-5290 - Phone
- (512) 338-8388
- NPI assigned
- May 26, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Q8922 | TX | Primary |
Addresses
Primary practice location
4515 Seton Center Pkwy
Austin, TX 78759-5290
Mailing address
3900 Avery Woods LN
Cedar Park, TX 78613-7673
Phone (404) 759-7444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170128000203 | TX | Practitioner - Internal Medicine | 1052561750 | Reassigns benefits to 1 organization |
| I20250808003261 | GA | Practitioner - Internal Medicine | 1052561750 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Family of Doctors | Internal Medicine | Current | Accepting new patients |
| Seton Family of Doctors | Current | Accepting new patients | |
| The Southeast Permanente Medical Group | Internal Medicine | Current | Accepting new patients |
| Seton Family of Doctors | Internal Medicine | Current | Accepting new patients |
Locations
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
130 Hays St
Luling, TX 78648
Phone (830) 875-7000
940 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 244-9024
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
GA, Internal Medicine
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
Internal Medicine, TX
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1386879013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 AVERY WOODS LN",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137673",
"telephone_number": "404-759-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 SETON CENTER PKWY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787595290",
"telephone_number": "512-338-8388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "DURRESHAHWAR",
"middle_name": "KHURSHEED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-26",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q8922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.
- 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.