NPIMap

Organization Active NPI

Khan & Mujeeb Urgent Care Group

Doing business as UrgentCareMDs

  • Urgent Care Clinic/Center
  • Baytown, TX
National Provider Identifier
1629305446
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
L7451 Issued in TX
Legal business name
KHAN & MUJEEB URGENT CARE GROUP
Doing business as
UrgentCareMDs
Practice address
1658 West Baker Rd
Baytown, TX 77521-2271
Phone
(281) 428-0000
Fax
(281) 428-0002
NPI assigned
Nov 16, 2009
Last updated
Dec 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Dr. Kamran A Khan, MDNPI 1053339416
Title
Ceo
Phone
(936) 641-0434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X L7451 TX Primary

Addresses

Primary practice location

1658 West Baker Rd
Baytown, TX 77521-2271

Mailing address

17211 Ross Lake CT
Humble, TX 77346-3675

Other names 1

  • UrgentCareMDs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100416000145 TX Part B Supplier - Clinic/Group Practice 6901931310 Receives reassigned benefits from 6 practitioners
Practice locations: Baytown, TX

National Provider Directory

National Provider Directory

Locations

1658 W Baker Rd
Ste A
Baytown, TX 77521
Phone (281) 428-0000

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1629305446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17211 ROSS LAKE CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 WEST BAKER RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212271",
            "telephone_number": "281-428-0000",
            "fax_number": "281-428-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAN & MUJEEB URGENT CARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-641-0434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "L7451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UrgentCareMDs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.