Individual provider Active NPI

Jari Ullah Khan, M.D.

  • Internal Medicine Physician
  • Allen, TX
National Provider Identifier
1932155884
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L9279 Issued in TX
Practice address
1105 Central Expy N Ste 235
Allen, TX 75013-6135
Phone
(972) 747-6042
Fax
(972) 747-6043
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA12217700 NJ
Hospitalist Physician 208M00000X L9279 TX
Internal Medicine Physician 207R00000X L9279 TX Primary

Addresses

Primary practice location

1105 Central Expy N Ste 235
Allen, TX 75013-6135

Mailing address

1105 Central Expy N Ste 235
Allen, TX 75013-6135
Phone (972) 747-6042

Other identifiers 5

IdentifierTypeStateIssuer
167655302MedicaidTX
167655306MedicaidTX
167655305MedicaidSD
8P6742OtherTXBCBS
P00267178OtherTXRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NJ2 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
I20040819000502 TX Practitioner - Internal Medicine 2668445305 Reassigns benefits to 4 organizations
I20240719001791 NJ Practitioner - Internal Medicine 2668445305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1105 Central Expy N
Suite 235
Allen, TX 75013-6135
Phone (972) 747-6042

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-5045

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12217700NJMDInternal Medicine Physician
L9279TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 15, 2024 Accepting new patients
Texas Oncology PA Current Accepting new patients
Healthtexas Provider Network CurrentSince May 1, 2005 Accepting new patients
Texas Oncology PA CurrentSince Oct 1, 2016 Accepting new patients
Healthtexas-Dallas Diagnostic Association Internal Medicine CurrentSince Dec 1, 2007 Accepting new patients
Texas Health Physicians Group Internal Medicine CurrentSince Apr 25, 2010 Accepting new patients
Healthtexas Provider Network--Dallas Diagnostic Association Internal Medicine CurrentSince Dec 1, 2007 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Oncology PA CurrentSince Oct 1, 2016 Accepting new patients
Texas Health Physicians Group CurrentSince Apr 25, 2010 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Internal Medicine CurrentSince May 15, 2024 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince May 1, 2005 Accepting new patients
Texas Health Presbyterian Hospital Allen Past Accepting new patients
Blue Sky Telehealth, LLC PastSince Dec 21, 2025 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

1105 Central Expy N
Ste 235
Allen, TX 75013
Phone (972) 747-6042

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

4700 Alliance Blvd
Ste 400
Plano, TX 75093
Phone (469) 814-6631

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

Interoperability endpoints

  • Direct secure messaging: jkhan61774@direct.texashealth.org
  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 10

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1932155884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPY N STE 235",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136135",
            "telephone_number": "972-747-6042",
            "fax_number": "972-747-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPY N STE 235",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136135",
            "telephone_number": "972-747-6042",
            "fax_number": "972-747-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "JARI",
        "middle_name": "ULLAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA12217700",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "L9279",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L9279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167655302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167655306",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167655305",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P6742",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00267178",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.