Zeeshan Tariq Khan, MD

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

R6808 Issued in TX

Practice address

318 W FM 544 Ste C4
Murphy, TX 75094-4652

Phone

(972) 737-5000

NPI assigned

Aug 20, 2009

Last updated

Jun 11, 2024By 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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, OK2 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

Specialty

Addiction Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vital Options PLLCGroup PAC ID 5597002527, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zkhan1107547@wm.providencedirect.org

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.

• Vital Options PLLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Murphy, TX
  • NPI 1245713643

  OK

  Medicare reassignment Care Compare group NPD Authorized official
• Little Spurs Pediatric Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1780673319

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1417189671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 FALCON TRL",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943836",
            "telephone_number": "972-737-5000",
            "fax_number": "210-314-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W FM 544 STE C4",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944652",
            "telephone_number": "972-737-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 W University Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750693446",
            "country_code": "US",
            "telephone_number": "972-737-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2912 Enterprise Dr Ste C1",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747011963",
            "country_code": "US",
            "telephone_number": "972-737-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ZEESHAN",
        "middle_name": "TARIQ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD60278638",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "TX",
            "license": "R6808",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60278638",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KRMC L&I GROUP NUMBER",
            "identifier": "025904",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417189671",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kdmedlink Services
• Kdmedlink Services, LLC
• Mustafa Khalid
• Adeeba Sultana Khan, MD
• Asif Khan
• Khushboo Gandhi DDS PLLC
• Trung Hieu Lam, RPH
• Elizabeth Michaela Land, LPC-S
• Catherine Ann Laskaris, RPH
• Lco Enterprises, LLC

• Addiction Medicine (Preventive Medicine) Physician in Murphy, TX
• Providers in Murphy, TX by specialty
• Addiction Medicine (Preventive Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.