Individual provider Active NPI

Abdul Haq Khan, M.D.

  • Gastroenterology Physician
  • Shenandoah, TX
National Provider Identifier
1922129774
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
T3113 Issued in TX
Practice address
17183 Interstate 45 S
Medical Office BLDG-1, Suite 640
Shenandoah, TX 77385-3312
Phone
(936) 270-3880
Fax
(936) 270-3881
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 52028-20 WI
Gastroenterology Physician 207RG0100X 45722 CO
Gastroenterology Physician 207RG0100X T3113 TX Primary

Addresses

Primary practice location

17183 Interstate 45 S
Medical Office BLDG-1, Suite 640
Shenandoah, TX 77385-3312

Mailing address

17183 Interstate 45 S
Medical Office BLDG 1; Suite 640
Shenandoah, TX 77385-3312
Phone (936) 270-3880

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
I20211102001459 TX Practitioner - Gastroenterology 2668564758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148

16811 Southwest Fwy
Suite 200
Sugar Land, TX 77479-4728
Phone (281) 690-4678

17183 I 45 S
Shenandoah, TX 77385-3316

Hospital & facility affiliations

  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy170
Upper gastrointestinal (GI) endoscopy for acid reflux348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45722COMDGastroenterology Physician
52028-20WIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Dec 6, 2021 Accepting new patients
TMH Physician Associates PLLC CurrentSince Dec 6, 2021 Accepting new patients
Houston Methodist Specialty Physicians CurrentSince Jan 1, 2026 Accepting new patients
Houston Methodist Past Accepting new patients

Locations

6565 Fannin St
#623
Houston, TX 77030
Phone (713) 363-8584

17183 Interstate 45 S
Ste 640
Shenandoah, TX 77385
Phone (936) 270-3880

17183 Interstate 45 S
Ste 530
Shenandoah, TX 77385
Phone (936) 270-4130

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

16811 Southwest Fwy
Ste 200
Sugar Land, TX 77479
Phone (281) 690-4678

Interoperability endpoints

  • Direct secure messaging: akhan394366@directhoustonmethodist.org

Organizations & group practices 4

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 8

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1922129774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17183 INTERSTATE 45 S",
            "address_2": "MEDICAL OFFICE BLDG 1; SUITE 640",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853312",
            "telephone_number": "936-270-3880",
            "fax_number": "936-270-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17183 INTERSTATE 45 S",
            "address_2": "MEDICAL OFFICE BLDG-1, SUITE 640",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853312",
            "telephone_number": "936-270-3880",
            "fax_number": "936-270-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABDUL",
        "middle_name": "HAQ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "52028-20",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "45722",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "T3113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.