Individual provider Active NPI

Muzzamel Khan, APRN-CNP, FNP-C

  • Family Nurse Practitioner
  • Pasadena, TX
National Provider Identifier
1437925591
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1142123 Issued in TX
Practice address
4102 Woodlawn Ave Ste 230
Pasadena, TX 77504-1949
Phone
(713) 369-1969
NPI assigned
Nov 29, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1142123 TX Primary

Addresses

Primary practice location

4102 Woodlawn Ave Ste 230
Pasadena, TX 77504-1949

Mailing address

615 Constellation Blvd
League City, TX 77573-6431

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610003689 TX Practitioner - Nurse Practitioner 4082156708 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minivasive Pain Specialists,PLLCGroup PAC ID 7113278896, 29 clinicians
Mandm Clinical GroupGroup PAC ID 4587986468, 4 clinicians

Practice addresses (Care Compare)

15201 E Fwy 118
Channelview, TX 77530-4131
Phone (346) 800-6001

4102 Woodlawn Ave
Suite 230
Pasadena, TX 77504-1949
Phone (713) 369-1969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1142123TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M&M Clinical Group CurrentSince Jul 6, 2024 Accepting new patients
Mont Belvieu Providers, PLLC CurrentSince Feb 21, 2024 Accepting new patients
Minivasive Pain Specialists,PLLC CurrentSince Jan 12, 2026 Accepting new patients
Vip Health Services LLC Past Accepting new patients
Houston Kidney Specialists Center PLLC PastSince Jan 12, 2026 Accepting new patients

Locations

720 Avenue F N
Ste 3
Bay City, TX 77414
Phone (281) 720-6910

1682 W Baker Rd
Ste B
Baytown, TX 77521
Phone (281) 422-5000

5350 Bellaire Blvd
Unit 355
Bellaire, TX 77402

15201 East Fwy
Ste 240
Channelview, TX 77530

15201 East Fwy
#118
Channelview, TX 77530

6002 Rogerdale Rd
Ste 590
Houston, TX 77072

7272 Pinemont Dr
Ste A
Houston, TX 77040

2636 S Loop W
Ste 301
Houston, TX 77054

2656 S Loop W
Ste 595
Houston, TX 77054

427 W 20th St
Ste 220
Houston, TX 77008
Phone (713) 869-0850

2051 Greenhouse Rd
Ste 240
Houston, TX 77084

310 Kingwood Executive Dr
Ste C
Kingwood, TX 77339
Phone (281) 312-6313

11303 Eagle Dr
Mont Belvieu, TX 77523
Phone (281) 385-8111

4102 Woodlawn Ave
Pasadena, TX 77504
Phone (713) 475-5940

4102 Woodlawn Ave
Ste 230
Pasadena, TX 77504

11233 Shadow Creek Pkwy
Pearland, TX 77584
Phone (281) 340-8100

3307 Spring Stuebner Rd
Ste D
Spring, TX 77389
Phone (363) 800-6001

14861 Southwest Fwy
Ste C302
Sugar Land, TX 77478
Phone (281) 340-1234

4660 Sweetwater Blvd
Ste 190
Sugar Land, TX 77479
Phone (281) 313-0551

155 School St
Ste 230
Tomball, TX 77375

205 E Medical Center Blvd
Webster, TX 77598
Phone (281) 218-7251

205 E Medical Center Blvd
#100
Webster, TX 77598

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCHADD
  • FHIR API: https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4

Organizations & group practices 5

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": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1437925591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 CONSTELLATION BLVD",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 WOODLAWN AVE STE 230",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041949",
            "telephone_number": "713-369-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUZZAMEL",
        "credential": "APRN-CNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1142123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.