Individual provider Active NPI

Jalil Aziz Khan, M.D.

  • Internal Medicine Physician
  • Lewisville, TX
National Provider Identifier
1821183435
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J9128 Issued in TX
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
88280XOtherBCBS INDIVIDUAL #
752825508OtherTAX ID
1274664-06MedicaidTX

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
I20041006000181 TX Practitioner - Internal MedicinePractitioner - Family Practice 0042279192 Reassigns benefits to 1 organization

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
Jalil a Khan MD PAGroup PAC ID 1052370103, 2 clinicians

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

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jalil a Khan, MD, PA Internal Medicine CurrentSince Nov 1, 2004 Accepting new patients
MD Covid Care PLLC PastSince Oct 10, 2021 Accepting new patients
Regional Health Partners LLC PastSince Sep 17, 2012 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

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: 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.

FacilityTypeRoleSince
Archway HospiceFrisco, TX, CCN 741753 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.

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.