Advanced Colon Care, PLLC
Organization Active NPI Colon & Rectal Surgery Physician · Webster, TX
NPI 1649865981 · NPPES record last updated Dec 15, 2025
Key facts
- NPI
- 1649865981
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Colon & Rectal Surgery Physician 208C00000X
- Legal business name
- ADVANCED COLON CARE, PLLC
- Practice address
- 1 Professional Park Dr
Webster, TX 77598-4123 - Phone
- (281) 957-5655
- Fax
- (281) 666-8188
- NPI assigned
- Mar 9, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Mohummed Radwan Khani
- Title
- Owner
- Phone
- (281) 957-5655
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210907000918 | TX | Part B Supplier - Clinic/Group Practice | 9537565288 |
Receives reassigned benefits from 1 practitioner Practice locations: Pasadena, TX; Webster, TX; Pearland, TX |
National Provider Directory
Locations
4450 E Sam Houston Pkwy S
#H2
Pasadena, TX 77505
5044 Crenshaw Rd
Ste 100
Pasadena, TX 77505
Phone (281) 258-4836
10907 Memorial Hermann Dr
Ste 440
Pearland, TX 77584
Phone (281) 957-5655
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | |||
| Colon & Rectal Surgery Physician |
208C00000X | Yes |
Addresses
Primary practice location
1 Professional Park Dr
Webster, TX 77598-4123
Mailing address
1407 Blakely Grove LN
Pearland, TX 77581-3553
Phone (832) 626-5164
Other practice location 1
4450 E Sam Houston Pkwy S Ste H2
Pasadena, TX 77505-3950
Phone (347) 820-4943
Other practice location 2
10907 Memorial Hermann Dr Ste 440
Pearland, TX 77584-4114
Phone (281) 957-5655
Other providers in Webster, TX
- Janet Louise Adkins
- Leena Adolf
- Adult & Children Dental Partners PA
- Advanced Chiropractic Specialist Center, P.a.
- Advanced Chiropractic Specialist Center, P.a.
- Advanced Compounding Enterprises
- Advanced Lifts & Accessibility, Inc
- Advanced Pain Management PLLC
- Advantage Physical Therapy
- Ruth Adzuara
All providers in Webster, TX · Colon & Rectal Surgery Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.