Individual provider Active NPI

Mohammed I Khan, M.D.

  • Interventional Pain Medicine Physician
  • Coppell, TX
National Provider Identifier
1891982278
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
N0883 Issued in TX
Practice address
149 E State Highway 121
Suite 105
Coppell, TX 75019
Phone
(806) 441-8841
NPI assigned
Sep 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X N0883 TX Primary
Physical Medicine & Rehabilitation Physician 208100000X MT196139 TX

Addresses

Primary practice location

149 E State Highway 121
Suite 105
Coppell, TX 75019

Mailing address

149 E SH 121
Suite 105
Coppell, TX 75019
Phone (972) 833-7246

Other practice location 1

1 Mercy Ln Ste 304
Hot Springs, AR 71913-6440
Phone (501) 321-4772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141223002243 TX Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 3779748207 Reassigns benefits to 1 organization
I20150928001266 AR Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 3779748207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Texas Tech University Health Science Center School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Siai PLLCGroup PAC ID 4789003385, 3 clinicians

Practice addresses (Care Compare)

897 N Macarthur Blvd
Suite 110
Coppell, TX 75019-2707
Phone (972) 833-7246

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT196139TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aizis PLLC Current Accepting new patients
Hot Springs Interventional Pain Management PA Pain Medicine CurrentSince Sep 1, 2017 Accepting new patients
Siai, PLLC Interventional Pain Medicine CurrentSince Sep 15, 2020 Accepting new patients

Locations

1 Mercy Ln
Ste 304
Hot Springs National Park, AR 71913
Phone (501) 321-4772

897 N MacArthur Blvd
Ste 110
Coppell, TX 75019
Phone (469) 304-3443

149 E State Highway 121
Coppell, TX 75019
Phone (806) 441-8841

149 E State Highway 121
Ste 105
Coppell, TX 75019
Phone (806) 441-8841

Interoperability endpoints

  • Direct secure messaging: mkhan@aisc.curemd.direct-ci.com

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, 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": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1891982278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 E SH 121",
            "address_2": "SUITE 105",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "972-833-7246",
            "fax_number": "972-833-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 E STATE HIGHWAY 121",
            "address_2": "SUITE 105",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "806-441-8841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Mercy Ln Ste 304",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719136440",
            "country_code": "US",
            "telephone_number": "501-321-4772",
            "fax_number": "501-321-2945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMED",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "N0883",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "MT196139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.