Imran A Khan, MD
Individual provider Active NPI Family Medicine Physician · Odessa, TX
NPI 1487008306 · NPPES record last updated Jan 8, 2021
Key facts
- NPI
- 1487008306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- S1428 (TX)
- Practice address
- 701 W 5TH St
Odessa, TX 79763-4206 - Phone
- (432) 703-5238
- NPI assigned
- Apr 17, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Big Bend Medical Group
Practice addresses (Care Compare)
1608 W FM
Big Spring, TX 79720-4113
1608 W FM 700
Big Spring, TX 79720-4113
520 E 6TH St
Odessa, TX 79761-4527
Phone (432) 582-8535
Hospital & facility affiliations
- Odessa Regional Medical Center
- Medical Center Hospital
- Pecos County Memorial Hospital
- Reeves Regional Health
- Big Bend Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201023000353 | TX | Practitioner - Family Practice | 7416242680 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hospitalist Services of Texas PLLC | Current | Accepting new patients | |
| Comprehensive Hospitalist Services of Texas PLLC | Current |
Accepting new patients | |
| Comprehensive Hospitalist Services of Texas, PLLC | Current |
Accepting new patients | |
| Big Bend Medical Group | Family Medicine | Current |
Accepting new patients |
| Big Bend Medical Group | Current |
Accepting new patients | |
| Odessa Texas Hospital Company LLC | Past | Accepting new patients | |
| Odessa Regional Hospital LP | Past | Accepting new patients |
Locations
200 Corporate Blvd
Lafayette, LA 70508
1608 W FM 700
Ste C
Big Spring, TX 79720
Phone (432) 263-7700
1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000
7101 Eastridge Rd
Odessa, TX 79765
Phone (432) 550-0048
701 W 5th St
Odessa, TX 79763
Phone (432) 335-2222
520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | S1428 | TX | Yes |
Addresses
Primary practice location
701 W 5TH St
Odessa, TX 79763-4206
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other providers in Odessa, TX
- Ken Utzinger LPT PC
- Angela Jean Kennedy
- Image Khadka
- Ali Hamza Khair
- Hassan Khalid
- Tanzina Khan
- Pankaj Khandelwal
- Krish Ashok Kherajani
- Hildano Kidangathazha
- Ashley Nichole Kidd
All providers in Odessa, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.