Individual provider Active NPI

Mohammad Sarfaraz Ali Khan, MD

  • Psychiatry Physician
  • Plano, TX
National Provider Identifier
1528028032
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N5155 Issued in TX
Practice address
5501 Independence Pkwy Ste 302
Plano, TX 75023-5470
Phone
(469) 747-1010
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 45126 WI
Psychiatry Physician 2084P0800X N5155 TX Primary

Addresses

Primary practice location

5501 Independence Pkwy Ste 302
Plano, TX 75023-5470

Mailing address

PO Box 2755
McKinney, TX 75070-8175
Phone (469) 747-1010

Other practice location 1

1740 W Virginia St Ste 100
McKinney, TX 75069-7864
Phone (972) 709-7556

Other identifiers 1

IdentifierTypeStateIssuer
34399200MedicaidWI

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
I20101221000968 TX Practitioner - Psychiatry 6103844683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5501 Independence Pkwy
Suite 302
Plano, TX 75023-5470
Phone (469) 747-1010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N5155TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Child & Adolescent Psychiatric Services PA Psychiatry CurrentSince Sep 1, 2012 Accepting new patients
Regenesis Counseling and Assessment Center PastSince Aug 3, 2011 Accepting new patients
Capitol Associates, SC Psychiatry Past Accepting new patients

Locations

2000 Old Hickory Trl
Desoto, TX 75115
Phone (972) 223-2760

4433 Punjab Way
Frisco, TX 75033
Phone (469) 269-0080

4433 Punjab Way
Ste 403
Frisco, TX 75033
Phone (469) 269-0080

2700 W Pleasant Run Rd
Ste 220
Lancaster, TX 75146
Phone (888) 871-1883

2140 N Lake Forest Dr
#104
McKinney, TX 75071
Phone (469) 747-1010

1740 W Virginia St
Ste 100
McKinney, TX 75069
Phone (972) 709-7556

1740 W Virginia St
Ste 200
McKinney, TX 75069
Phone (469) 747-1010

5501 Independence Pkwy
Ste 302
Plano, TX 75023
Phone (469) 747-1010

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1528028032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2755",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750708175",
            "telephone_number": "469-747-1010",
            "fax_number": "469-747-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 INDEPENDENCE PKWY STE 302",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235470",
            "telephone_number": "469-747-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 W Virginia St Ste 100",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750697864",
            "country_code": "US",
            "telephone_number": "972-709-7556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD",
        "middle_name": "SARFARAZ ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "45126",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N5155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34399200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.