NPIMap

Individual provider Active NPI

Jasmine Rafeek Khan, M.D.

  • Cardiovascular Disease Physician
  • Shenandoah, TX
National Provider Identifier
1871755082
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
N7574 Issued in TX
Practice address
128 Vision Park Blvd
Suite 145
Shenandoah, TX 77384-3017
Phone
(281) 606-5355
Fax
(844) 684-4234
NPI assigned
Jun 28, 2008
Last updated
Feb 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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 N7574 TX Primary

Addresses

Primary practice location

128 Vision Park Blvd
Suite 145
Shenandoah, TX 77384-3017

Mailing address

128 Vision Park Blvd
Suite 145
Shenandoah, TX 77384-3017
Phone (281) 606-5355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101227000763 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5799830378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MRG Health Texas PLLCGroup PAC ID 6002354891, 9 clinicians

Practice addresses (Care Compare)

128 Vision Park Blvd
Suite 145
Shenandoah, TX 77384-3025
Phone (281) 606-5355

5201 Memorial Dr
Unit 529
Houston, TX 77007-8404
Phone (855) 674-5333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N7574TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MRG Health Texas PLLC CurrentSince Jan 24, 2025 Accepting new patients
Jasmine R Khan M D P a Cardiovascular Disease CurrentSince Aug 15, 2016 Accepting new patients
North Houston X-Ray,Inc CurrentSince Jan 2, 2026 Accepting new patients
MRG Health Inc. CurrentSince Jan 24, 2025 Accepting new patients
Philadelphia Health & Education Corporation Past Accepting new patients

Locations

128 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 606-5355

128 Vision Park Blvd
Ste 145
Shenandoah, TX 77384
Phone (281) 606-5355

132 Eldridge Rd
Ste A
Sugar Land, TX 77478
Phone (281) 549-2703

Interoperability endpoints

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

Organizations & group practices 5

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 7

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": "1214611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1871755082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD",
            "address_2": "SUITE 145",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843017",
            "telephone_number": "281-606-5355",
            "fax_number": "844-684-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD",
            "address_2": "SUITE 145",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843017",
            "telephone_number": "281-606-5355",
            "fax_number": "844-684-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "JASMINE",
        "middle_name": "RAFEEK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-28",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "N7574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.