Individual provider Active NPI

Shamyal Khan, D.O.

  • Gastroenterology Physician
  • Waco, TX
National Provider Identifier
1972981843
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
R7507 Issued in TX
Practice address
364 Richland West Cir Ste a
Waco, TX 76712-7919
Phone
(254) 537-0911
Fax
(254) 537-0313
NPI assigned
May 12, 2015
Last updated
May 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 593771 TX
Gastroenterology Physician 207RG0100X R7507 TX Primary

Addresses

Primary practice location

364 Richland West Cir Ste a
Waco, TX 76712-7919

Mailing address

PO Box 23189
Waco, TX 76702-3189
Phone (254) 537-0911

Other practice location 1

101 Sunwest Blvd Ste B
McGregor, TX 76657-4329
Phone (254) 202-7817

Other identifiers 1

IdentifierTypeStateIssuer
R7507OtherTXLICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address skhan63742@direct.sw.org Direct
Direct Messaging Address skhan@directaddress.net Health Information Exchange (HIE)

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
I20180625002930 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 4587945670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillcrest Physician ServicesGroup PAC ID 1153304456, 114 clinicians
Waco Gastroenterology AssociatesGroup PAC ID 5991795056, 15 clinicians

Practice addresses (Care Compare)

100 Hillcrest Med Blvde
Waco, TX 76712-8897
Phone (254) 202-2000

101 Sunwest Blvd
Suite B
McGregor, TX 76657-4329
Phone (254) 202-7817

140 Hillcrest Medical Blvd
Waco, TX 76712-8897

150 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-4000

364 Richland W Cir
Suite a
Waco, TX 76712-7919
Phone (254) 537-0911

50 Hillcrest Medical Blvd
Suite 206
Waco, TX 76712-8954
Phone (254) 202-7950

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy116
Upper gastrointestinal (GI) endoscopy for acid reflux170

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
593771TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Waco Gastroenterology Associates Gastroenterology CurrentSince Aug 1, 2022 Accepting new patients
Hillcrest Physician Services Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Medhealth PastSince Jun 5, 2022 Accepting new patients
Hillcrest Family Health Center Internal Medicine Past Accepting new patients

Locations

364 Richland West Cir
#A
Waco, TX 76712
Phone (254) 537-0911

50 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-7300

Interoperability endpoints

  • Direct secure messaging: skhan63742@direct.sw.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1972981843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23189",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767023189",
            "telephone_number": "254-537-0911",
            "fax_number": "254-537-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 RICHLAND WEST CIR STE A",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127919",
            "telephone_number": "254-537-0911",
            "fax_number": "254-537-0313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Sunwest Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "McGregor",
            "state": "TX",
            "postal_code": "766574329",
            "country_code": "US",
            "telephone_number": "254-202-7817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAMYAL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "593771",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "R7507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R7507",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skhan63742@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 Sunwest Blvd Ste B",
            "city": "McGregor",
            "state": "TX",
            "country_code": "US",
            "postal_code": "766574329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skhan@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "364 Richland West Cir Ste A",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767127919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.