Organization Active NPI

Jasmine R Khan M D P a

  • Cardiovascular Disease Physician
  • Shenandoah, TX
National Provider Identifier
1437501152
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
JASMINE R KHAN M D P A
Practice address
128 Vision Park Blvd
Suite 145
Shenandoah, TX 77384-3017
Phone
(281) 606-5355
Fax
(844) 684-4234
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Jasmine R Khan, MDNPI 1871755082
Title
Owner
Phone
(281) 606-5355

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

128 Vision Park Blvd
Suite 145
Shenandoah, TX 77384-3017

Mailing address

128 Vision Park Blvd
Suite 145
Shenandoah, TX 77384-3017
Phone (281) 606-5355

Other names 1

  • The Woodlands Heart and Vascular Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171103000228 TX Part B Supplier - Clinic/Group Practice 8820370794 Receives reassigned benefits from 1 practitioner
Practice locations: Shenandoah, TX; Tomball, TX; Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

128 Vision Park Blvd
Ste 145
Shenandoah, TX 77384
Phone (281) 606-5355

128 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 606-5355

132 Eldridge Rd
Ste A
Sugar Land, TX 77478
Phone (281) 549-2703

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1437501152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD",
            "address_2": "SUITE 145",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843017",
            "telephone_number": "281-606-5355",
            "fax_number": "844-684-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD",
            "address_2": "SUITE 145",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843017",
            "telephone_number": "281-606-5355",
            "fax_number": "844-684-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMINE R KHAN M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-606-5355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Woodlands Heart and Vascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.