Organization Active NPI

Smart Testing Labs & Physician Care Practice PLLC

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1710749825
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SMART TESTING LABS & PHYSICIAN CARE PRACTICE PLLC
Practice address
12350 Montwood Drive
Suite 300
El Paso, TX 79928-5695
Phone
(915) 800-1115
Fax
(915) 800-1113
NPI assigned
Jan 24, 2024
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Muhammad KhanNPI 1457791113
Title
Owner/Operator
Phone
(630) 703-8527

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

12350 Montwood Drive
Suite 300
El Paso, TX 79928-5695

Mailing address

12350 Montwood Drive
Suite 300
El Paso, TX 79928-5695
Phone (915) 800-1115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241018000588 TX Part B Supplier - Clinic/Group Practice 0547792269 Receives reassigned benefits from 3 practitioners
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2300809Smart Testing Labs & Physician Care Practice PLLC12350 Montwood Drive Suite 300, El Paso, TX 79928Certificate of waiverMar 14, 2028

National Provider Directory

National Provider Directory

Locations

12350 Montwood Dr
Ste 300
El Paso, TX 79928
Phone (915) 231-6224

Practitioners & affiliated clinicians

Practitioners 3

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": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1710749825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12350 MONTWOOD DRIVE",
            "address_2": "SUITE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799285695",
            "telephone_number": "915-800-1115",
            "fax_number": "915-800-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 MONTWOOD DRIVE",
            "address_2": "SUITE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799285695",
            "telephone_number": "915-800-1115",
            "fax_number": "915-800-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART TESTING LABS & PHYSICIAN CARE PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "630-703-8527"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.