Individual provider Active NPI

Durreshahwar Khursheed Khan, M.D.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1386879013
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q8922 Issued in TX
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

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

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

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Internal Medicine Current Accepting new patients
Seton Family of Doctors CurrentSince Oct 19, 2016 Accepting new patients
The Southeast Permanente Medical Group Internal Medicine CurrentSince Jul 24, 2025 Accepting new patients
Seton Family of Doctors Internal Medicine CurrentSince Oct 19, 2016 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.

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

Verify at the official NPI Registry.