Organization Active NPI

Yasmin B. Khan, MD PA

  • Obstetrics & Gynecology Physician
  • Richardson, TX
National Provider Identifier
1760777890
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L1092 Issued in TX
Legal business name
YASMIN B. KHAN, MD PA
Practice address
1080 W Campbell Rd Ste 200
Richardson, TX 75080
Phone
(972) 498-4510
Fax
(972) 498-4511
NPI assigned
Jun 16, 2011
Last updated
Aug 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Dr. Yasmin B Khan, M.D., P.A.NPI 1891867297
Title
Physician
Phone
(972) 498-4510

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
Obstetrics & Gynecology Physician 207V00000X L1092 TX Primary

Addresses

Primary practice location

1080 W Campbell Rd Ste 200
Richardson, TX 75080

Mailing address

1080 W Campbell Rd Ste 200
Richardson, TX 75080-2990
Phone (972) 498-4510

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110706000286 TX Part B Supplier - Clinic/Group Practice 9133307549 Receives reassigned benefits from 1 practitioner
Practice locations: Richardson, 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
45D0989546Yasmin B Khan MD Facog1080 W Campbell Road, #200, Richardson, TX 75080Provider-performed microscopyJul 29, 2027

National Provider Directory

National Provider Directory

Locations

1080 W Campbell Rd
Ste 200
Richardson, TX 75080
Phone (972) 498-4510

Practitioners & affiliated clinicians

Practitioners 11

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": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1760777890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 W CAMPBELL RD STE 200",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802990",
            "telephone_number": "972-498-4510",
            "fax_number": "972-498-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 W CAMPBELL RD STE 200",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75080",
            "telephone_number": "972-498-4510",
            "fax_number": "972-498-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASMIN B. KHAN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "YASMIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-498-4510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L1092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.