Abdul Lateef Khan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

S2366 Issued in TX

Practice address

4228 N Josey LN
Carrollton, TX 75010-4600

Phone

(469) 663-3200

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in AR, LA, TX3 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 3

Specialty

Family PracticeAlso: Emergency Medicine, Hospitalist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Em Alliance Texas PLLCGroup PAC ID 4587192430, 88 clinicians

Innovative Emergency Physicians of UptownGroup PAC ID 8921444514, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advanced Dallas Hospitals and Clinics Hospital, Dallas, TX, CCN 670321
• Baylor Scott and White Medical Center Uptown Hospital, Dallas, TX, CCN 450422

Procedures performed for Medicare patients

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.

• Em Alliance Texas, PLLC

  • Emergency Medicine Physician
  • Amarillo, TX
  • NPI 1902621329
  Medicare reassignment Care Compare group NPD
• Innovative Emergency Physicians of Uptown

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1144098690
  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Dla Physician Group PLLC

  dba FasterCare Urgent Care

  • Urgent Care Clinic/Center
  • Richardson, TX
  • NPI 1144897315
  Medicare reassignment NPD
• Arkansas Emergency Staffing Solutions, Inc

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1275774630
  Medicare reassignment NPD
• C & M Medical Services, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Metairie, LA
  • NPI 1710903059
  Medicare reassignment NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441
  Medicare reassignment NPD
• Ess Hospitalist LLC

  • Hospitalist Physician
  • Crossett, AR
  • NPI 1881967305

  LA

  Medicare reassignment NPD
• Lasalle Parish Hospital Service District #1

  dba Hardtner Medical Center

  • Critical Access Hospital
  • Olla, LA
  • NPI 1184815466
  Medicare reassignment NPD
• Nes Kentucky Inc

  • Emergency Medicine Physician
  • Nashville, AR
  • NPI 1902348048
  Medicare reassignment NPD
• Ess of Nacogdoches LLC

  • Emergency Medicine Physician
  • Nacogdoches, TX
  • NPI 1780139956
  Medicare reassignment

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

• Advanced Dallas Hospital & Clinics LLC

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1235711748
  Care Compare affiliation
• MSH Partners, LLC

  dba Baylor Scott & White Medical Center - Uptown

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1386647717
  Care Compare affiliation

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1457349474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 KINGSTON DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824074",
            "telephone_number": "469-870-6020",
            "fax_number": "207-345-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104600",
            "telephone_number": "469-663-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABDUL",
        "middle_name": "LATEEF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S2366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5N252",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "2253429404",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E 4423",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457349474",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053554",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157937001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LA 200396",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista L Ketcham, M.ED., LPC
• Swapna Reddy Kethi Reddy
• Shannan Rebecca Ketner
• Serrena Keys
• Sepehr Khalili-Tari, MS
• Furqan Khan, APRN ACNS-BC
• Najam H Khan, M.D.
• Naghmeh Lilly Khavari, DPM
• Husni R Khayal, D.C.
• Farha Khoja, LPC-A

• Family Medicine Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.