Individual provider Active NPI

Arif Masood Khan, M.D.

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1962515866
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K8252 Issued in TX
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

Updated by the provider on May 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
043755002MedicaidTX

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
I20040108000100 TX Practitioner - Psychiatry 2365341393 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mindcare Solutions of Texas PA Psychiatry CurrentSince Feb 11, 2021 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.

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

Verify at the official NPI Registry.