Individual provider Active NPI

Fatima Khan, M.D.

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Galveston, TX
National Provider Identifier
1528474020
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
T7970 Issued in TX
Practice address
1005 Harborside Dr.
FL 6
Galveston, TX 77555-0001
Phone
(409) 722-2328
NPI assigned
Jul 3, 2014
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 51848 FL
Cardiovascular Disease Physician 207RC0000X MED-PHYS-LIC-100924 MT
Cardiovascular Disease Physician 207RC0000X T7970 TX
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 38480 OK
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X T7970 TX Primary

Addresses

Primary practice location

1005 Harborside Dr.
FL 6
Galveston, TX 77555-0001

Mailing address

8755 NW 36TH St
Doral, FL 33178-2401
Phone (215) 285-7912

Other practice location 1

8755 NW 36th St
Doral, FL 33178-2401
Phone (888) 988-7168

Other practice location 2

2900 12th Ave N Ste 204E
Billings, MT 59101-7502
Phone (406) 237-5001

Other practice location 3

1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 592-0999

Other identifiers 1

IdentifierTypeStateIssuer
XXXXOtherMTST VINCENT HOSPITAL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221020000344 TX Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3274751573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Advanced Heart Failure and Transplant Cardiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

1005 Harborside Dr FL
Suite 6
Galveston, TX 77555-0001
Phone (409) 772-0122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38480OKMDAdvanced Heart Failure and Transplant Cardiology Physician
51848FLMDCardiovascular Disease Physician
MED-PHYS-LIC-100924MTMDCardiovascular Disease Physician
T7970TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice CurrentSince Sep 19, 2022 Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

1005 Harborside Dr
Galveston, TX 77555
Phone (409) 772-0122

1005 Harborside Dr
Fl 6
Galveston, TX 77555

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

200 Blossom St
Fl 8
Webster, TX 77598
Phone (281) 338-0829

Interoperability endpoints

  • Direct secure messaging: fkhanmd56731@direct.utmb.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1528474020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8755 NW 36TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782401",
            "telephone_number": "215-285-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HARBORSIDE DR.",
            "address_2": "FL 6",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550001",
            "telephone_number": "409-722-2328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8755 NW 36th St",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331782401",
            "country_code": "US",
            "telephone_number": "888-988-7168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 12th Ave N Ste 204E",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591017502",
            "country_code": "US",
            "telephone_number": "406-237-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 S Utica Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741044012",
            "country_code": "US",
            "telephone_number": "918-592-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FATIMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "51848",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MT",
            "license": "MED-PHYS-LIC-100924",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "T7970",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "OK",
            "license": "38480",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "TX",
            "license": "T7970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST VINCENT HOSPITAL",
            "identifier": "XXXX",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.