Individual provider Active NPI

Ahmad-Rabia Alkhush, M.D.

  • Family Medicine Physician
  • Katy, TX
National Provider Identifier
1821080714
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L2086 Issued in TX
Practice address
705 S Fry Rd
Ste 225
Katy, TX 77450-2251
Phone
(281) 492-7062
NPI assigned
Aug 17, 2005
Reactivated
Mar 29, 2006
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L2086 TX Primary

Addresses

Primary practice location

705 S Fry Rd
Ste 225
Katy, TX 77450-2251

Mailing address

23920 Katy Fwy
Ste 330
Katy, TX 77494-0899
Phone (281) 492-7062

Other identifiers 1

IdentifierTypeStateIssuer
151704704MedicaidTX

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
I20041115000440 TX Practitioner - Family PracticePractitioner - Emergency Medicine 1759345309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23920 Katy Fwy
Suite 550
Katy, TX 77494-0883
Phone (281) 665-8498

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L2086TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health & Wellness Clinic, PA Family Medicine CurrentSince May 1, 2002 Accepting new patients
Conroe Clinic Corporation Past Accepting new patients
Hillcroft Medihealth Associates PA Family Medicine Past Accepting new patients
Conroe Medihealth Associates PA Family Medicine Past Accepting new patients

Locations

23920 Katy Fwy
Ste 330
Katy, TX 77494
Phone (281) 392-2266

23920 Katy Fwy
Ste 550
Katy, TX 77494
Phone (281) 371-3338

705 S Fry Rd
Ste 225
Katy, TX 77450
Phone (281) 492-7062

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IABEBA/Endpoint/IABEBA

Organizations & group practices 4

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1821080714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY",
            "address_2": "STE 330",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940899",
            "telephone_number": "281-492-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S FRY RD",
            "address_2": "STE 225",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502251",
            "telephone_number": "281-492-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKHUSH",
        "first_name": "AHMAD-RABIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2019-09-23",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151704704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.