Organization Active NPI

Integrated Healthcare Providers LLC

  • Family Medicine Physician
  • Grapevine, TX
National Provider Identifier
1952271884
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTEGRATED HEALTHCARE PROVIDERS LLC
Practice address
2451 W Grapevine Mills Cir # 507
Grapevine, TX 76051-2096
Phone
(682) 477-3585
Fax
(682) 477-3675
NPI assigned
Nov 6, 2025
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Mohammed Gulam Rasul Khan
Title
Owner/Ceo
Phone
(469) 386-5586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2451 W Grapevine Mills Cir # 507
Grapevine, TX 76051-2096

Mailing address

2825 Roundup TRL
Grapevine, TX 76051-4745
Phone (682) 477-3585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260127002654 TX Part B Supplier - Clinic/Group Practice 8628556115 Receives reassigned benefits from 1 practitioner
Practice locations: Grapevine, TX

National Provider Directory

National Provider Directory

Locations

2451 W Grapevine Mills Cir
Grapevine, TX 76051
Phone (682) 292-8306

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1952271884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 ROUNDUP TRL",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514745",
            "telephone_number": "682-477-3585",
            "fax_number": "682-477-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 W GRAPEVINE MILLS CIR # 507",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512096",
            "telephone_number": "682-477-3585",
            "fax_number": "682-477-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTHCARE PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "GULAM RASUL KHAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "469-386-5586"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.