Individual provider Active NPI

Imran M Khan, MD

  • Internal Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1598045791
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q5838 Issued in TX
Practice address
255 Ed English Dr Ste a
Shenandoah, TX 77385-8004
Phone
(281) 475-7845
Fax
(281) 817-0478
NPI assigned
Aug 19, 2011
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Q5838 TX Primary

Addresses

Primary practice location

255 Ed English Dr Ste a
Shenandoah, TX 77385-8004

Mailing address

255 Ed English Dr Ste a
Shenandoah, TX 77385-8004
Phone (281) 475-7845

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
I20160304001317 TX Practitioner - Internal Medicine 8628238896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

255 Ed English Dr
Suite a
Shenandoah, TX 77385-8023
Phone (281) 475-7845

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q5838TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Healing and Wellness MD PLLC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients

Locations

255 Ed English Dr
Ste A
Shenandoah, TX 77385
Phone (281) 475-7845

Interoperability endpoints

  • Direct secure messaging: imran.khan.1@20632.direct.athenahealth.com
  • Direct secure messaging: imran.khan.1@32029.direct.athenahealth.com

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

Hospital & facility affiliations 2

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": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1598045791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ED ENGLISH DR STE A",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858004",
            "telephone_number": "281-475-7845",
            "fax_number": "281-817-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ED ENGLISH DR STE A",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858004",
            "telephone_number": "281-475-7845",
            "fax_number": "281-817-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "IMRAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-19",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q5838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.