Individual provider Active NPI

Asma Shahid Khan, MD

  • Family Medicine Physician
  • Coppell, TX
National Provider Identifier
1922363175
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R3887 Issued in TX
Practice address
149 E SH 121
Ste 105
Coppell, TX 75019
Phone
(972) 833-7246
Fax
(972) 833-7256
NPI assigned
Jul 12, 2012
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-9276 AR
Family Medicine Physician 207Q00000X R3887 TX Primary

Addresses

Primary practice location

149 E SH 121
Ste 105
Coppell, TX 75019

Mailing address

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

Other practice location 1

1 Mercy Ln Ste 506
Hot Springs, AR 71913-6462
Phone (501) 622-6500

Other practice location 2

149 SH 121 Frontage rd
Ste 105
Coppell, TX 75019
Phone (972) 833-7246

Other names 1

  • Dr. Asma Shahid 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
I20200617002215 TX Practitioner - Family Practice 6800038415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
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

897 N Macarthur Blvd
Suite 120
Coppell, TX 75019-2708
Phone (972) 833-7246

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-9276ARMDFamily Medicine Physician
R3887TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. Current Accepting new patients
Siai, PLLC CurrentSince Sep 1, 2024 Accepting new patients
American Current Care P.a. CurrentSince Jun 1, 2020 Accepting new patients
American Current Care PA CurrentSince Jun 1, 2020 Accepting new patients

Locations

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

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

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

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1922363175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 E SH 121",
            "address_2": "STE 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 SH 121",
            "address_2": "STE 105",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "972-833-7246",
            "fax_number": "972-833-7256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Mercy Ln Ste 506",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719136462",
            "country_code": "US",
            "telephone_number": "501-622-6500",
            "fax_number": "501-622-6575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "149 SH 121 Frontage rd",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "75019",
            "country_code": "US",
            "telephone_number": "972-833-7246",
            "fax_number": "972-833-7256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ASMA",
        "middle_name": "SHAHID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-9276",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R3887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASMA",
            "last_name": "SHAHID",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.