Inas Khattab, LSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA000858 Issued in TX

Practice address

1523 Portchester Castle Path
Pflugerville, TX 78660-4454

Phone

(916) 756-7147

NPI assigned

Jul 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Greater Austin Surgical Assistants, P.C.

  • Surgical Assistant
  • Cedar Park, TX
  • NPI 1851567994
  NPD (past)

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1457872228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 PORTCHESTER CASTLE PATH",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604454",
            "telephone_number": "916-756-7147",
            "fax_number": "512-381-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 PORTCHESTER CASTLE PATH",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604454",
            "telephone_number": "916-756-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATTAB",
        "first_name": "INAS",
        "credential": "LSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301112992",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA000858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiefer James Kelly
• Brittany Amanda Kemp, LCSW
• Xenia Sai Kempf, FNP-C
• Kynadie Kennedy
• Arfa Khan
• Alesha Marie Kidd
• Sujeong Kim
• Yelin Kim, OTR
• Martina Kinchion
• Faith Kinlow, RBT

• Surgical Assistant in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.