Khwaja Khusro Tariq

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

S2913 Issued in TX

Practice address

104 Whispering Pines Ave
Friendswood, TX 77546-4911

Phone

(281) 315-9508

NPI assigned

Jul 8, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Psychiatry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Behavioral Health PLLCGroup PAC ID 3971890948, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DEBFAD

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.

• Texas Behavioral Health PLLC

  • Psychiatry Physician
  • Pearland, TX
  • NPI 1881044337
  Medicare reassignment Care Compare group NPD
• Kairos Medical LLC

  • Psychiatry Physician
  • Friendswood, TX
  • NPI 1619824182
  NPD (past)
• United Psychiatry Institute, LLC

  • Child & Adolescent Psychiatry Physician
  • Houston, TX
  • NPI 1689913279
  NPD (past)

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1639466717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WHISPERING PINES AVE",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464911",
            "telephone_number": "281-315-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WHISPERING PINES AVE",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464911",
            "telephone_number": "281-315-9508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 N Pierce Ave",
            "address_purpose": "LOCATION",
            "city": "North Bellmore",
            "state": "NY",
            "postal_code": "117102315",
            "country_code": "US",
            "telephone_number": "713-371-7852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARIQ",
        "first_name": "KHWAJA",
        "middle_name": "KHUSRO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD443400",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S2913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Swanagan
• Emily Brezina Sweeney
• Taba&St LLC
• Thomas Andrew Taft, D.D.S.
• Phyllis C Tang-Wing, OD
• Carmac Dawell Taylor Jr., D.D.S.
• Malitta Taylor
• Sara D Taylor
• TCH Pediatric Associates, Inc (Tcpa Friendswood)
• Julianna Tello

• Psychiatry Physician in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.