Individual provider Active NPI

Masroor A Khan, MD

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1861482861
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
K9583 Issued in TX
Practice address
6550 Fannin St Ste 2405
Houston, TX 77030-2742
Phone
(832) 831-6932
Fax
(832) 831-6987
NPI assigned
Oct 21, 2005
Last updated
May 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X K9583 TX Primary

Addresses

Primary practice location

6550 Fannin St Ste 2405
Houston, TX 77030-2742

Mailing address

PO Box 540088
Houston, TX 77254-0088
Phone (713) 850-1190

Other identifiers 1

IdentifierTypeStateIssuer
104988401MedicaidTX

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
I20051014000776 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1456377886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Specialists of Houston PLLCGroup PAC ID 1951546134, 2 clinicians

Practice addresses (Care Compare)

6550 Fannin St
Suite 2405
Houston, TX 77030-2742
Phone (832) 831-6932

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Specialists of Houston, PLLC CurrentSince Feb 1, 2013 Accepting new patients
Cardiovascular Care Providers, Inc. PastSince Feb 1, 2013 Accepting new patients

Locations

10021 Main St
Ste B1
Houston, TX 77025
Phone (713) 797-6000

6550 Fannin St
Ste 2405
Houston, TX 77030
Phone (713) 797-6000

Interoperability endpoints

  • Direct secure messaging: mkhan31067@directhoustonmethodist.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1861482861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540088",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772540088",
            "telephone_number": "713-850-1190",
            "fax_number": "713-850-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 2405",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302742",
            "telephone_number": "832-831-6932",
            "fax_number": "832-831-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MASROOR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K9583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104988401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.