Individual provider Active NPI

Taquiuddin Khaja, D.O.

  • Nephrology Physician
  • Conroe, TX
National Provider Identifier
1730536889
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
T0535 Issued in TX
Practice address
200 S Rivershire Dr Ste 300
Conroe, TX 77304-3485
Phone
(936) 777-8830
Fax
(936) 777-8831
NPI assigned
May 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T0535 TX
Internal Medicine Physician 207R00000X 94-08942 KS
Nephrology Physician 207RN0300X T0535 TX Primary

Addresses

Primary practice location

200 S Rivershire Dr Ste 300
Conroe, TX 77304-3485

Mailing address

3901 Rainbow Blvd
Mail Stop 2027
Kansas City, KS 66160-8500
Phone (913) 588-6050

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220302002795 TX Practitioner - NephrologyPractitioner - Internal Medicine 9234424169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Specialists of Houston, PAGroup PAC ID 5193613149, 24 clinicians

Practice addresses (Care Compare)

4407 Yoakum Blvd
Suite B
Houston, TX 77006-5861
Phone (281) 528-8111

Hospital & facility affiliations

  • Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • Baylor St Lukes Medical Center Hospital, Houston, TX, CCN 450193
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
72.76
Promoting interoperability
97
Improvement activities
40
Cost
83.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
94-08942KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Kidneys Institute of Houston PLLC Internal Medicine CurrentSince Feb 21, 2022 Accepting new patients
Renal Specialists of Houston, PA CurrentSince May 1, 2024 Accepting new patients

Locations

2215 Rollingbrook Dr
Ste 140
Baytown, TX 77521
Phone (281) 428-2487

200 S Rivershire Dr
Ste 300
Conroe, TX 77304
Phone (832) 610-2822

17320 Red Oak Dr
Houston, TX 77090
Phone (832) 610-2822

4407 Yoakum Blvd
Ste B
Houston, TX 77006
Phone (281) 528-8111

2743 Smith Ranch Rd
Ste 803
Pearland, TX 77584
Phone (713) 944-4660

150 Pine Forest Dr
Ste 101
Shenandoah, TX 77384
Phone (832) 610-2822

100 E Nasa Pkwy
Ste 35
Webster, TX 77598
Phone (281) 332-2059

Interoperability endpoints

  • Direct secure messaging: tkhaja162795@direct.stlukeshealth.org
  • FHIR API: https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4
  • Direct secure messaging: taquiuddin.khaja.1@19285.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1730536889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "address_2": "MAIL STOP 2027",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608500",
            "telephone_number": "913-588-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S RIVERSHIRE DR STE 300",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043485",
            "telephone_number": "936-777-8830",
            "fax_number": "936-777-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAJA",
        "first_name": "TAQUIUDDIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-18",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T0535",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "94-08942",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "T0535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.