Individual provider Active NPI

Mahmood R Khan, M.D.

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1891741120
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K1851 Issued in TX
Practice address
3900 W 15TH St
507
Plano, TX 75075-7751
Phone
(972) 596-2911
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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 K1851 TX Primary

Addresses

Primary practice location

3900 W 15TH St
507
Plano, TX 75075-7751

Mailing address

3900 W 15TH St
507
Plano, TX 75075-7751
Phone (972) 596-2911

Other names 1

  • Mahmood R Khan Former name

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
I20031216000331 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 3577476951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3900 W 15TH St
Suite 507
Plano, TX 75075-4732
Phone (972) 596-2911

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mahmood R Khan MD PA Internal Medicine CurrentSince Feb 25, 1998 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Aug 28, 2018 Accepting new patients
Concord Medical Group PLLC CurrentSince Aug 28, 2018 Accepting new patients

Locations

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

3900 W 15th St
Ste 507
Plano, TX 75075
Phone (972) 596-2911

Interoperability endpoints

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

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 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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1891741120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W 15TH ST",
            "address_2": "507",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757751",
            "telephone_number": "972-596-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W 15TH ST",
            "address_2": "507",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757751",
            "telephone_number": "972-596-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MAHMOOD",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAHMOOD",
            "last_name": "KHAN",
            "middle_name": "R",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.