Active NPI
Jalil Aziz Khan, M.D.
- Internal Medicine Physician
- Lewisville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J9128
- Practice address
- 502 North Valley Parkway
1
Lewisville, TX 75067-3437 - Phone
- (972) 353-8616
- Fax
- (972) 353-5352
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J9128 | TX | Primary |
Addresses
Primary practice location
502 North Valley Parkway
1
Lewisville, TX 75067-3437
Mailing address
502 North Valley Parkway
1
Lewisville, TX 75067-3437
Phone (972) 353-8616
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88280X | Other | BCBS INDIVIDUAL # | |
| 752825508 | Other | TAX ID | |
| 1274664-06 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
502 N Valley Pkwy
Suite 1
Lewisville, TX 75067-3437
Phone (972) 353-8616
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jalil a Khan, MD, PA | Internal Medicine | Current | Accepting new patients |
| MD Covid Care PLLC | Past | Accepting new patients | |
| Regional Health Partners LLC | Past | Accepting new patients |
Locations
825 W Royal Ln
Ste 230
Irving, TX 75039
Phone (972) 353-9616
502 N Valley Pkwy
Ste 1
Lewisville, TX 75067
Phone (972) 353-8616
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- jkhan@pc-tx.direct.office.nextgen.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Archway Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (33.33%) Operational/Managerial Control (100%) |
Jun 10, 2016 Jun 10, 2016 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Archway Hospice
- Community Based Hospice Care Agency
- Frisco, TX
- NPI 1841733946
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Lynnwood, WA
- NPI 1306508213
-
dba RGH Rural Health Clinic
- Rural Health Clinic/Center
- Williston, FL
- NPI 1962748400
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Denton
- General Acute Care Hospital
- Denton, TX
- NPI 1306897277
-
dba Medical City Lewisville
- General Acute Care Hospital
- Lewisville, TX
- NPI 1255384533
-
dba Archway Hospice
- Community Based Hospice Care Agency
- Frisco, TX
- NPI 1841733946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1821183435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 NORTH VALLEY PARKWAY",
"address_2": "1",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673437",
"telephone_number": "972-353-8616",
"fax_number": "972-353-5352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 NORTH VALLEY PARKWAY",
"address_2": "1",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673437",
"telephone_number": "972-353-8616",
"fax_number": "972-353-5352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "JALIL",
"middle_name": "AZIZ",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J9128",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL #",
"identifier": "88280X",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "752825508",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1274664-06",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
- Kevin D Jones PLLC (Restoration Counseling Services)
- Kevin Dale Jones (Restoration Counseling Services)
- Kgbellos Residential Care, Inc.
- Thu Hoa Thi Kha, O.D.
- Khan LTCH Holdings LLC
- Kidz & Family Medicine Inc.
- Berningeh F Kigham, PHARM D
- Joseph Richard Kilianski III, M.D.
- Bumm Kim, DC
- Christa Yong Eun Kim, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.