Active NPI
Arif Masood Khan, M.D.
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1962515866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- K8252
- Practice address
- 4500 S Lancaster Rd
116A
Dallas, TX 75216-7167 - Phone
- (214) 857-0837
- Fax
- (214) 857-4116
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | K8252 | TX | Primary |
Addresses
Primary practice location
4500 S Lancaster Rd
116A
Dallas, TX 75216-7167
Mailing address
6204 Parkside Dr
Arlington, TX 76001-8434
Phone (214) 653-2927
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043755002 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindcare Solutions of Texas PA | Psychiatry | Current | Accepting new patients |
| West Texas Centers for MHMR | Psychiatry | Past | Accepting new patients |
Locations
101 S Avenue T
Clifton, TX 76634
Phone (254) 675-8322
2710 Sunset Strip
Ste C
Greenville, TX 75402
Phone (844) 291-4525
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.
-
- Psychiatry Physician
- Austin, TX
- NPI 1396290730
-
dba West Texas Centers
- Psychiatry Physician
- Big Spring, TX
- NPI 1154348514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1962515866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6204 PARKSIDE DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760018434",
"telephone_number": "214-653-2927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S LANCASTER RD",
"address_2": "116A",
"city": "DALLAS",
"state": "TX",
"postal_code": "752167167",
"telephone_number": "214-857-0837",
"fax_number": "214-857-4116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ARIF",
"middle_name": "MASOOD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "K8252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043755002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.