Active NPI
Ibrahim Khansa, MD
- Plastic and Reconstructive Surgery Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- U6996
- Practice address
- 3305 Northland Dr Ste 210
Austin, TX 78731-4988 - Phone
- (512) 615-6566
- Fax
- (281) 962-8002
- NPI assigned
- Jul 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | U6996 | TX | Primary |
Addresses
Primary practice location
3305 Northland Dr Ste 210
Austin, TX 78731-4988
Mailing address
3305 Northland Dr Ste 210
Austin, TX 78731-4988
Phone (512) 615-6566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U6996 | TX | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Los Angeles Medical Group, Inc. | Current | Accepting new patients | |
| Khansa Plastic Surgery PLLC | Plastic Surgery | Current | Accepting new patients |
| Texas Children's Physician Group | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122
8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250
3305 Northland Dr
Ste 210
Austin, TX 78731
Phone (512) 454-5716
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840
6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000
Interoperability endpoints
- ikhansa483644@prddirect.texaschildrens.org
Organizations & group practices 4
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.
-
- Plastic Surgery Physician
- Austin, TX
- NPI 1598635047
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265530653
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1649567769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 NORTHLAND DR STE 210",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314988",
"telephone_number": "512-615-6566",
"fax_number": "281-962-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 NORTHLAND DR STE 210",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314988",
"telephone_number": "512-615-6566",
"fax_number": "281-962-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANSA",
"first_name": "IBRAHIM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-10",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "U6996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.