Samad Khan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q6046 Issued in TX

Practice address

4040 Legacy Dr Ste 204
Frisco, TX 75034-6748

Phone

(469) 331-0111

Fax

(469) 250-2023

NPI assigned

May 29, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Heal 360 Primary Care PLLC

  • General Practice Physician
  • Wylie, TX
  • NPI 1588022800

  Family Medicine

  Medicare reassignment NPD
• Heal 360 Urgent Care, LLC

  • Family Medicine Physician
  • Wylie, TX
  • NPI 1295165967
  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  NPD

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1780944496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 WATERFORD DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244304",
            "telephone_number": "585-978-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 LEGACY DR STE 204",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346748",
            "telephone_number": "469-331-0111",
            "fax_number": "469-250-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q6046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Ishaq Khan, MD
• Hina Virani Khan
• Muhammad Ali Khan, MD
• Naseem Abrar Khan, M.D
• Saima Khan
• Samra Khan, M.D
• Sara Khan, NP
• Tariq Hasin Khan, MD
• Tuba Khan
• Zishan Ahmed Khan, MD

• Family Medicine Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.