Individual provider Active NPI

Mohammad Ahmad Khan, MD

  • Cardiovascular Disease Physician
  • Kingwood, TX
National Provider Identifier
1497242382
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
U9997 Issued in TX
Practice address
2627 Chestnut Ridge Dr Ste 100
Kingwood, TX 77339-1777
Phone
(281) 358-1950
NPI assigned
Apr 17, 2018
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X U9997 TX Primary

Addresses

Primary practice location

2627 Chestnut Ridge Dr Ste 100
Kingwood, TX 77339-1777

Mailing address

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

Other practice location 1

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418003339 TX Practitioner - Cardiovascular Disease (Cardiology) 0941545032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lieber-Moore Cardiology Associates PAGroup PAC ID 8022904770, 16 clinicians

Practice addresses (Care Compare)

19502 McKay Dr
Suite 203
Humble, TX 77338-5720
Phone (281) 358-1950

22999 Hwy 59 N
Kingwood, TX 77339-4412
Phone (281) 358-1950

2627 Chestnut Ridge Dr
Suite 100
Kingwood, TX 77339-1777
Phone (281) 358-1950

710 Cypress Creek Pkwy
Houston, TX 77090-3402
Phone (281) 358-1950

800 Peakwood Dr
Suite 6C
Houston, TX 77090-2903
Phone (281) 440-7373

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
U9997TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lieber-Moore Cardiology Associates PA Cardiovascular Disease CurrentSince Mar 31, 2024 Accepting new patients
Dallas Physician Medical Services for Children Inc PastSince Apr 14, 2024 Accepting new patients

Locations

800 Peakwood Dr
Ste 6C
Houston, TX 77090
Phone (281) 440-7373

2627 Chestnut Ridge Dr
Ste 100
Kingwood, TX 77339

400 Bypass Ln
Ste 110
Livingston, TX 77352
Phone (936) 252-1147

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAIACA

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1497242382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062612",
            "telephone_number": "602-839-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 CHESTNUT RIDGE DR STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391777",
            "telephone_number": "281-358-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062612",
            "country_code": "US",
            "telephone_number": "602-839-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD",
        "middle_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "U9997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.