Individual provider Active NPI

Sanober Khan, MD

  • Psychiatry Physician
  • Fort Worth, TX
National Provider Identifier
1790046555
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q6047 Issued in TX
Practice address
855 Montgomery St
Fort Worth, TX 76107-2553
Phone
(817) 702-4781
NPI assigned
Jun 7, 2012
Last updated
Jun 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Q6047 TX Primary

Addresses

Primary practice location

855 Montgomery St
Fort Worth, TX 76107-2553

Mailing address

PO Box 99335
Fort Worth, TX 76199-0335
Phone (817) 702-4781

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
I20160523001867 TX Practitioner - Psychiatry 3870891112 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seema Kazi MD PAGroup PAC ID 5193040772, 22 clinicians
Connections Wellness GroupGroup PAC ID 8628582004, 12 clinicians

Practice addresses (Care Compare)

200 Westpark Way
Euless, TX 76040-3963
Phone (817) 488-8998

2560 Central Park Ave
Suite 200
Flower Mound, TX 75028-1566
Phone (877) 747-4294

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q6047TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Wellness Group Psychiatry CurrentSince Jul 11, 2025 Accepting new patients
Seema Kazi MD PA Psychiatry CurrentSince Oct 10, 2025 Accepting new patients
Denton County MHMR Center Psychiatry Current Accepting new patients
Acclaim Physician Group, Inc CurrentSince Oct 9, 2016 Accepting new patients
Connections Physicians Group Psychiatry CurrentSince Jul 5, 2025 Accepting new patients
Denton County MHMR Center CurrentSince Mar 1, 2020 Accepting new patients

Locations

4907 S Collins St
Ste 121
Arlington, TX 76018
Phone (817) 417-9001

2519 Scripture St
Denton, TX 76201
Phone (940) 381-5000

2711 Shoreline Dr
Ste 121
Denton, TX 76210

2800 Shoreline Dr
Ste 290
Denton, TX 76210
Phone (615) 393-6746

3312 Teasley Ln
Ste 100
Denton, TX 76210
Phone 88874742948311

200 Westpark Way
Euless, TX 76040
Phone (817) 488-8998

2560 Central Park Ave
Ste 200
Flower Mound, TX 75028
Phone (940) 289-4569

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

9726 N Beach St
Fort Worth, TX 76244
Phone (817) 770-0208

255 W Lebanon
Ste 120
Frisco, TX 75036
Phone (469) 430-1930

4701 Bryant Irvin Rd N
Ft Worth, TX 76107
Phone (817) 702-7400

1900 Matlock Rd
Bldg 2
Mansfield, TX 76063
Phone (817) 312-6458

7290 Virginia Pkwy
Ste 2100
McKinney, TX 75071

6101 W Plano Pkwy
Ste 230
Plano, TX 75093
Phone (469) 613-3390

6101 W Plano Pkwy
Ste 240
Plano, TX 75093
Phone (469) 312-2107

1005 W Ralph Hall Pkwy
Ste 201
Rockwall, TX 75032
Phone (888) 990-0663

1100 E Southlake Blvd
Ste 200
Southlake, TX 76092
Phone (817) 697-4195

141 Jd Towles Dr
Willow Park, TX 76087
Phone (210) 668-0301

Interoperability endpoints

  • Direct secure messaging: sanober.khan@direct.myteamcare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1790046555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99335",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761990335",
            "telephone_number": "817-702-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MONTGOMERY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072553",
            "telephone_number": "817-702-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SANOBER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q6047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.