Individual provider Active NPI

Mohummed Radwan Khani, M.D

  • Colon & Rectal Surgery Physician
  • Webster, TX
National Provider Identifier
1508022740
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
R0433 Issued in TX
Practice address
1 Professional Park Dr
Webster, TX 77598-4123
Phone
(281) 957-5655
NPI assigned
Aug 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X R0433 TX Primary
Surgery Physician 208600000X R0433 TX

Addresses

Primary practice location

1 Professional Park Dr
Webster, TX 77598-4123

Mailing address

1407 Blakely Grove LN
Pearland, TX 77581-3553
Phone (281) 957-5655

Other practice location 1

10907 Memorial Hermann Dr Ste 440
Pearland, TX 77584-4114
Phone (281) 957-5655

Other names 1

  • Dr. Mohummed Radwan Khani Professional name

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
I20161213000621 TX Practitioner - Colorectal Surgery (Proctology) 0547480550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10907 Memorial Hermann Dr
Suite 440
Pearland, TX 77584-4114
Phone (281) 957-5655

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • HCA Houston Healthcare Pearland Hospital, Pearland, TX, CCN 670106
  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy36
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0433TXMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Colon Care, PLLC Surgery CurrentSince Feb 26, 2021 Accepting new patients

Locations

5044 Crenshaw Rd
Ste 100
Pasadena, TX 77505
Phone (281) 258-4836

4450 E Sam Houston Pkwy S
Ste H2
Pasadena, TX 77505
Phone (713) 910-7779

10907 Memorial Hermann Dr
Ste 440
Pearland, TX 77584
Phone (281) 957-5655

1 Professional Park Dr
Webster, TX 77598
Phone (281) 332-6513

Interoperability endpoints

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

Organizations & group practices 1

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.

Hospital & facility affiliations 10

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": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1508022740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 BLAKELY GROVE LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775813553",
            "telephone_number": "281-957-5655",
            "fax_number": "281-666-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROFESSIONAL PARK DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984123",
            "telephone_number": "281-957-5655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10907 Memorial Hermann Dr Ste 440",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775844114",
            "country_code": "US",
            "telephone_number": "281-957-5655",
            "fax_number": "281-666-8188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANI",
        "first_name": "MOHUMMED",
        "middle_name": "RADWAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "R0433",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R0433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHUMMED RADWAN",
            "last_name": "KHANI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.