Individual provider Active NPI

Mohammed Khan, M.D.

  • Anesthesiology Physician
  • Flower Mound, TX
National Provider Identifier
1851665467
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA09061300 Issued in NJ
Practice address
3200 Long Prairie Rd
Ste.100
Flower Mound, TX 75022-2718
Phone
(248) 987-8381
NPI assigned
Feb 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA09061300 NJ Primary
Anesthesiology Physician 207L00000X P6987 TX

Addresses

Primary practice location

3200 Long Prairie Rd
Ste.100
Flower Mound, TX 75022-2718

Mailing address

3200 Long Prairie Rd
Ste.100
Flower Mound, TX 75022-2718
Phone (248) 987-8381

Other identifiers 1

IdentifierTypeStateIssuer
0293628MedicaidNJ

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
I20140607000033 TX Practitioner - Anesthesiology 8426206335 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tgi Anesthesia PLLCGroup PAC ID 2264782564, 2 clinicians

Practice addresses (Care Compare)

4221 Medical Pkwy
Suite 100
Carrollton, TX 75010-4544
Phone (972) 497-2652

Hospital & facility affiliations

  • Encompass Health Rehabilitation Hospital Ft Smith Inpatient rehabilitation facility, Fort Smith, AR, CCN 043028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Solar Health, P.a. CurrentSince Oct 1, 2017 Accepting new patients
Tgi Anesthesia PLLC CurrentSince Oct 11, 2018 Accepting new patients
Evergreen Anesthesia PLLC Anesthesiology CurrentSince Oct 1, 2017 Accepting new patients
Solar Health, P.a. CurrentSince Oct 1, 2017 Accepting new patients
Premier Interventional Pain Management, P.L.L.C Anesthesiology CurrentSince Nov 2, 2013 Accepting new patients
Premier Interventional Pain Management, P.L.L.C CurrentSince Nov 2, 2013 Accepting new patients

Locations

4221 Medical Pkwy
Ste 100
Carrollton, TX 75010
Phone (972) 331-0702

2321 Olympia Dr
Ste 100A
Flower Mound, TX 75028
Phone (972) 350-0225

910 N Galloway Ave
#302
Mesquite, TX 75149
Phone (972) 301-8897

811 S Central Expy
Ste 103
Richardson, TX 75080
Phone (972) 310-7121

Organizations & group practices 7

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 1

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": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1851665467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 LONG PRAIRIE RD",
            "address_2": "STE.100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222718",
            "telephone_number": "248-987-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 LONG PRAIRIE RD",
            "address_2": "STE.100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222718",
            "telephone_number": "248-987-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-28",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA09061300",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "P6987",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0293628",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.