Active NPI
Mahboob Ali Khan, MD
- Internal Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- Q4160
- Practice address
- 3571 W Wheatland Rd
Ste 101
Dallas, TX 75237-3461 - Phone
- (972) 274-5555
- Fax
- (972) 274-5563
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD426847 | PA | |
| Internal Medicine Physician | 207R00000X | 28163 | AL | |
| Nephrology Physician | 207RN0300X | Q4160 | TX | |
| Hospitalist Physician | 208M00000X | 35.095158 | OH | |
| Hospitalist Physician | 208M00000X | MD426847 | PA | |
| Internal Medicine Physician | 207R00000X | Q4160 | TX | Primary |
Addresses
Primary practice location
3571 W Wheatland Rd
Ste 101
Dallas, TX 75237-3461
Mailing address
3571 W Wheatland Rd
Ste 101
Dallas, TX 75237-3461
Phone (972) 274-5555
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051541255 | Other | AL | BLUE CROSS |
| 819381 | Other | PA | FIRST PRIORITY HEALTH |
| 051541252 | Other | AL | BLUE CROSS |
| 009910049 | Medicaid | AL | |
| 009910051 | Medicaid | AL | |
| I38194 | Other | PA | HEALTHAMERICA |
| P00244719 | Other | PA | RAILROAD MEDICARE |
| 1751916 | Other | PA | HIGHMARK BLUE SHIELD |
| 009910050 | Medicaid | AL | |
| 101349604 | Medicaid | PA | |
| 051541253 | Other | AL | BLUE CROSS |
| 7711714 | Other | PA | AETNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1222 N Bishop Ave
Suite 500
Dallas, TX 75208-1478
Phone (972) 274-5555
1300 W Terrell Ave
Suite K230
Fort Worth, TX 76104-3104
Phone (817) 250-7240
2400 N I
35E Baylor Scott and White
Waxahachie, TX 75165
Phone (469) 843-4280
2700 E Broad St
Mansfield, TX 76063-5899
Phone (682) 622-2000
7999 W Virginia Dr
Suite a
Dallas, TX 75237-3845
Phone (888) 616-6322
Hospital & facility affiliations
- Usrc Premier Waxahachie
- USRC Premier Midlothian
- Methodist Midlothian Medical Center
- Baylor Scott & White Medical Center- Waxahachie
- Methodist Mansfield Medical Center
- Texas Health Harris Methodist Fort Worth
- Ennis Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28163 | AL | MD | Internal Medicine Physician |
| 35.095158 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current | Accepting new patients | |
| Dallas Renal Group PA | Nephrology | Current | Accepting new patients |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Lonestar Hospital Medicine Associates, PA | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Usrc Cedar Hill, LLC | Past | Accepting new patients | |
| Methodist Hospitals of Dallas | Past | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500
3571 W Wheatland Rd
#101
Dallas, TX 75237
Phone (972) 274-5555
1222 N Bishop Ave
Ste 500
Dallas, TX 75208
Phone (972) 274-5555
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
1300 W Terrell Ave
Ste K230
Fort Worth, TX 76104
Phone (817) 250-7240
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
1201 E Highway 287
Midlothian, TX 76065
Phone (469) 695-2065
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996
2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEHCAD
- mahboob.khan@drg.eclinicaldirectplus.com
- mkhan710256@direct.texashealth.org
- mkhan444917@direct.sw.org
Organizations & group practices 11
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.
-
- Nephrology Physician
- Dallas, TX
- NPI 1629186168
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
Internal Medicine
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Colleyville, TX
- NPI 1235135906
Internal Medicine
-
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
- Internal Medicine Physician
- Kaufman, TX
- NPI 1992151740
-
- General Acute Care Hospital
- Midlothian, TX
- NPI 1487271375
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cedar Hill, TX
- NPI 1043742919
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Midlothian, TX
- NPI 1609764851
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Waxahachie, TX
- NPI 1033423173
Dialysis facility
-
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
-
- General Acute Care Hospital
- Midlothian, TX
- NPI 1487271375
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
-
- General Acute Care Hospital
- Ennis, TX
- NPI 1700805678
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1508834599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3571 W WHEATLAND RD",
"address_2": "STE 101",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373461",
"telephone_number": "972-274-5555",
"fax_number": "972-274-5563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3571 W WHEATLAND RD",
"address_2": "STE 101",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373461",
"telephone_number": "972-274-5555",
"fax_number": "972-274-5563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "MAHBOOB",
"middle_name": "ALI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD426847",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "28163",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "Q4160",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.095158",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD426847",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q4160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051541255",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "819381",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051541252",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009910049",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009910051",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA",
"identifier": "I38194",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00244719",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1751916",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009910050",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101349604",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051541253",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7711714",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.