Organization Active NPI

Khizar Ahsan MD PA

  • Gastroenterology Physician
  • McAllen, TX
National Provider Identifier
1699811737
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
K5763 Issued in TX
Legal business name
KHIZAR AHSAN MD PA
Practice address
252 Lindberg Ave
McAllen, TX 78501-2920
Phone
(956) 627-3408
Fax
(956) 627-3453
NPI assigned
Jan 29, 2007
Last updated
Dec 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Khizar Ahsan, M.D.NPI 1750399077
Title
President
Phone
(956) 627-3408

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P1374 TX
Gastroenterology Physician 207RG0100X K5763 TX Primary

Addresses

Primary practice location

252 Lindberg Ave
McAllen, TX 78501-2920

Mailing address

PO Box 2880
Mission, TX 78573-0049
Phone (956) 627-3408

Other identifiers 2

IdentifierTypeStateIssuer
174631501MedicaidTX
0063MWOtherTXBCBSTX PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050614001435 TX Part B Supplier - Clinic/Group Practice 8022052620 Receives reassigned benefits from 5 practitioners
Practice locations: McAllen, TX; Mission, TX; Rio Grande City, TX

National Provider Directory

National Provider Directory

Locations

252 Lindberg Ave
McAllen, TX 78501
Phone (956) 627-3408

2766 Pharmacy Rd
Rio Grande City, TX 78582
Phone (956) 488-9960

5342 E US Highway 83
#C1
Rio Grande Cy, TX 78582
Phone (956) 488-9900

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1699811737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2880",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785730049",
            "telephone_number": "956-627-3408",
            "fax_number": "956-627-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012920",
            "telephone_number": "956-627-3408",
            "fax_number": "956-627-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHIZAR AHSAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "AHSAN",
        "authorized_official_first_name": "KHIZAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-627-3408",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P1374",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "K5763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174631501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PROVIDER NUMBER",
            "identifier": "0063MW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.