Individual provider Active NPI

Tanveer Khan, PA-C

  • Medical Physician Assistant
  • Sugar Land, TX
National Provider Identifier
1932509627
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA09248 Issued in TX
Practice address
15200 Southwest Fwy Ste 285
Sugar Land, TX 77478-3866
Phone
(281) 634-7800
Fax
(281) 634-7807
NPI assigned
Aug 29, 2014
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA09248 TX Primary

Addresses

Primary practice location

15200 Southwest Fwy Ste 285
Sugar Land, TX 77478-3866

Mailing address

11569 S Highway 6
PMB #209
Sugar Land, TX 77498-4932
Phone (281) 428-8203

Other practice location 1

7103 S Peek Rd Ste 520
Richmond, TX 77407-3507
Phone (281) 712-7757

Other identifiers 1

IdentifierTypeStateIssuer
PA09248OtherTXPA LICENSE NUMBER ( TMB)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608000641 TX Practitioner - Physician Assistant 5496918211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Care Primary Medical Associates PLLCGroup PAC ID 3971857822, 3 clinicians

Practice addresses (Care Compare)

15200 Southwest Fwy
Suite 285
Sugar Land, TX 77478-3866
Phone (281) 634-7800

7103 S Peek Rd
Suite 520
Richmond, TX 77407-3507
Phone (281) 712-7757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA09248TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Life Care Primary Medical Associates PLLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

633 E Fernhurst Dr
Ste 202
Katy, TX 77450
Phone (281) 712-7757

7103 S Peek Rd
Ste 520
Richmond, TX 77407
Phone (281) 712-7757

11569 S Highway 6
Sugar Land, TX 77498
Phone (414) 687-7042

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.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1932509627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11569 S HIGHWAY 6",
            "address_2": "PMB #209",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774984932",
            "telephone_number": "281-428-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY STE 285",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783866",
            "telephone_number": "281-634-7800",
            "fax_number": "281-634-7807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7103 S Peek Rd Ste 520",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774073507",
            "country_code": "US",
            "telephone_number": "281-712-7757",
            "fax_number": "281-712-7758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "TANVEER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-29",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA09248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE NUMBER ( TMB)",
            "identifier": "PA09248",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.