Individual provider Active NPI

Yasmin B Khan, M D P A

  • Obstetrics & Gynecology Physician
  • Richardson, TX
National Provider Identifier
1891867297
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L1092 Issued in TX
Practice address
1080 W Campbell Rd Ste 200
Richardson, TX 75080-2990
Phone
(972) 498-4510
Fax
(972) 498-4511
NPI assigned
Nov 14, 2006
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L1092 TX Primary

Addresses

Primary practice location

1080 W Campbell Rd Ste 200
Richardson, TX 75080-2990

Mailing address

1080 W Campbell Rd Ste 200
Richardson, TX 75080-2990
Phone (972) 498-4510

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
I20081112000824 TX Practitioner - Obstetrics/Gynecology 6406915974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1080 W Campbell Rd
Suite 200
Richardson, TX 75080-2990
Phone (972) 498-4510

403 W Campbell Rd
Mob 1 Ste. 305
Richardson, TX 75080-3465

403 W Campbell Rd
Suite 305
Richardson, TX 75080-3468

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1092TXMDObstetrics & Gynecology Physician
L0192TXMDPediatrics Physician

Organizations & group practices 1

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 5

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1891867297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 W CAMPBELL RD STE 200",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802990",
            "telephone_number": "972-498-4510",
            "fax_number": "972-498-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 W CAMPBELL RD STE 200",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802990",
            "telephone_number": "972-498-4510",
            "fax_number": "972-498-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "YASMIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M D P A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L1092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.