Individual provider Active NPI

Tehmina A. Khan, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1922186014
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J9131 Issued in TX
Practice address
4435 W Fuqua St
Houston, TX 77045-6205
Phone
(713) 848-1910
Fax
(833) 749-0327
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J9131 TX Primary

Addresses

Primary practice location

4435 W Fuqua St
Houston, TX 77045-6205

Mailing address

PO Box 616788
Orlando, FL 32861-6788
Phone (407) 447-7120

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tehmina.khan@centerwell.eclinicaldirectplus.com Direct

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
I20160816000293 TX Practitioner - Family Practice 4284821612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerwell Senior Primary Care TX PAGroup PAC ID 4789950247, 111 clinicians

Practice addresses (Care Compare)

5104 Harrisburg Blvd
Suite 800
Houston, TX 77011-0001
Phone (832) 667-4150

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (TX) PA Family Medicine Current Accepting new patients
Centerwell Senior Primary Care (TX) PA Family Medicine CurrentSince Jan 6, 2025 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

6416 Old Winter Garden Rd
Orlando, FL 32835
Phone (407) 281-1755

5104 Harrisburg Blvd
Ste 800
Houston, TX 77011
Phone (832) 667-4150

3915 Spencer Hwy
Pasadena, TX 77504
Phone (713) 265-6955

Interoperability endpoints

  • Direct secure messaging: tehmina.khan@centerwell.eclinicaldirectplus.com
  • Direct secure messaging: tehmina.khan.1@29601.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1922186014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 616788",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328616788",
            "telephone_number": "407-447-7120",
            "fax_number": "407-770-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 W FUQUA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770456205",
            "telephone_number": "713-848-1910",
            "fax_number": "833-749-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "TEHMINA",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tehmina.khan@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4435 W Fuqua St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770456205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.