Organization Active NPI

DFW Prompt Care PA

  • Internal Medicine Physician
  • Colleyville, TX
National Provider Identifier
1437240934
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J9728 Issued in TX
Legal business name
DFW PROMPT CARE PA
Practice address
7151 Colleyville Blvd
Suite103
Colleyville, TX 76034-8030
Phone
(817) 416-1931
Fax
(817) 488-8527
NPI assigned
Sep 28, 2006
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Dr. Rehan Abbas Khan, M.D.NPI 1134104284
Title
President
Phone
(972) 985-0492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J9698 TX
Internal Medicine Physician 207R00000X J9728 TX Primary

Addresses

Primary practice location

7151 Colleyville Blvd
Suite103
Colleyville, TX 76034-8030

Mailing address

PO Box 2959
Grapevine, TX 76099-2959
Phone (817) 416-1931

Other identifiers 2

IdentifierTypeStateIssuer
187692201MedicaidTX
0057N7OtherTXBLUE CROSS BLUE SHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070215000705 TX Part B Supplier - Clinic/Group Practice 8527060805 Receives reassigned benefits from 2 practitioners
Practice locations: Colleyville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1072287DFW Prompt Care, PA7151 Colleyville Blvd, Suite 103, Colleyville, TX 76034Certificate of waiverAug 12, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1437240934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2959",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760992959",
            "telephone_number": "817-416-1931",
            "fax_number": "817-488-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 COLLEYVILLE BLVD",
            "address_2": "SUITE103",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760348030",
            "telephone_number": "817-416-1931",
            "fax_number": "817-488-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW PROMPT CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "REHAN",
        "authorized_official_middle_name": "ABBAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-985-0492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9698",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187692201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0057N7",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.