Individual provider Active NPI

Marium Khan, MD

  • Internal Medicine Physician
  • Richmond, TX
National Provider Identifier
1962815852
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U7334 Issued in TX
Practice address
10615 W Grand Pkwy S
Richmond, TX 77407-8692
Phone
(281) 637-7390
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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 2897171 NY
Internal Medicine Physician 207R00000X 28681 MS
Internal Medicine Physician 207R00000X U7334 TX Primary

Addresses

Primary practice location

10615 W Grand Pkwy S
Richmond, TX 77407-8692

Mailing address

10615 W Grand Pkwy S
Richmond, TX 77407-8692
Phone (281) 637-7390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MS, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170814000123 NY Practitioner - Internal Medicine 3971874736 Reassigns benefits to 1 organization
I20210608001117 MS Practitioner - Internal Medicine 3971874736 Reassigns benefits to 1 organization
I20240402004136 TX Practitioner - Internal Medicine 3971874736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor St. Luke'S Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

10615 W Grand Pkwy S
Richmond, TX 77407-8692
Phone (281) 637-7390

Hospital & facility affiliations

  • St Luke'S Sugar Land Hospital Hospital, Sugar Land, TX, CCN 670053
  • Baylor St Lukes Medical Center Hospital, Houston, TX, CCN 450193

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2897171NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Brookdale Hospital Medical Center CurrentSince Jun 15, 2017 Accepting new patients
Memorial Hospital at Gulfport CurrentSince May 17, 2021 Accepting new patients
Baylor St. Luke'S Medical Group Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jun 15, 2017 Accepting new patients
Memorial Hospital at Gulfport CurrentSince May 17, 2021 Accepting new patients
CLS Health PLLC Internal Medicine PastSince May 1, 2024 Accepting new patients

Locations

4333 15th St
#A
Gulfport, MS 39501
Phone (228) 324-2363

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

10615 W Grand Pkwy S
Richmond, TX 77407
Phone (281) 637-7390

17350 St Lukes Way
Ste 400
The Woodlands, TX 77384
Phone (832) 249-3721

17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
  • Direct secure messaging: mkhan@direct.mhg.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFDBA

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1962815852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 W GRAND PKWY S",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774078692",
            "telephone_number": "281-637-7390",
            "fax_number": "713-383-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 W GRAND PKWY S",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774078692",
            "telephone_number": "281-637-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MARIUM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2897171",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "28681",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U7334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.