Mudassir Khan, M.D

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

Q9653 Issued in TX

Practice address

605 Holderrieth Blvd
Emergency Medicine
Tomball, TX 77375-6445

Phone

(281) 401-7500

NPI assigned

Dec 2, 2012

Last updated

Sep 5, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Mudassir Khan Professional name

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

Specialty

Emergency Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians

Travis County Emergency Physicians PAGroup PAC ID 0840289468, 289 clinicians

Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
• CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011
• HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  Medicare reassignment Care Compare group NPD
• Usacs Integrated Acute Care Services of Texas, PLLC

  • Internal Medicine Physician
  • Cedar Park, TX
  • NPI 1801300322
  Medicare reassignment Care Compare group NPD
• Brazos Valley Emergency Physicians PA

  • Emergency Medicine Physician
  • Navasota, TX
  • NPI 1982642955
  Medicare reassignment NPD
• Bryan Emergency Physicians PA

  • Emergency Medicine Physician
  • Bryan, TX
  • NPI 1417995481
  Medicare reassignment NPD
• St Joseph Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1326324047
  Medicare reassignment NPD
• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Care Compare group NPD
• St Joseph Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1437407467
  NPD
• Methodist Health Centers

  dba Houston Methodist Cypress Hospital

  • General Acute Care Hospital
  • Cypress, TX
  • NPI 1629828405
  NPD (past)

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

• KPH-Consolidation, Inc.

  dba HCA Houston Healthcare North Cypress a Campus of HCA Houston Healthcar

  • General Acute Care Hospital
  • Kingwood, TX
  • NPI 1811942238
  Care Compare affiliation
• St Joseph Regional Health Center

  • General Acute Care Hospital
  • Bryan, TX
  • NPI 1942294939
  Care Compare affiliation
• St. Joseph Regional Health Center

  dba CHI St. Joseph Health College Station Hospital

  • General Acute Care Hospital
  • College Station, TX
  • NPI 1053963009
  Care Compare affiliation
• The Methodist Hospital

  dba Houston Methodist Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1548387418
  Care Compare affiliation

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

{
    "created_epoch": "1354406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473033600000",
    "number": "1396080305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 HOLDERRIETH BLVD",
            "address_2": "EMERGENCY MEDICINE",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HOLDERRIETH BLVD",
            "address_2": "EMERGENCY MEDICINE",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756445",
            "telephone_number": "281-401-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUDASSIR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-02",
        "last_updated": "2016-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "074436",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q9653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUDASSIR",
            "last_name": "KHAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Navin Kesari, MD
• Kayla Keys, SLP
• Shamsa Khalil, PA-C
• Anna Khan, RN
• Bismah Khan
• Waqar A Khan, MD
• Kidney Center of North Houston
• Todd P. Kielman, PA-C, MPAS
• Sandra Kilson, RPH
• Carly Kim, R.D., L.D.

• Emergency Medicine Physician in Tomball, TX
• Providers in Tomball, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2016; 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.

Verify at the official NPI Registry.