Organization Active NPI

Epic Heart & Vascular Center PLLC

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1982253688
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
EPIC HEART & VASCULAR CENTER PLLC
Practice address
17070 Red Oak Dr Ste 405
Houston, TX 77090-2616
Phone
(832) 432-1951
Fax
(832) 626-7010
NPI assigned
Sep 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Muhammad Usman Khan, MDNPI 1740445014
Title
Owner
Phone
(832) 432-1951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

17070 Red Oak Dr Ste 405
Houston, TX 77090-2616

Mailing address

20212 Champion Forest Dr Ste 700-365
Spring, TX 77379-8780
Phone (832) 432-1951

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191007000801 TX Part B Supplier - Clinic/Group Practice 7618208653 Receives reassigned benefits from 5 practitioners
Practice locations: Houston, TX; Richmond, TX; Sugar Land, TX; Tomball, TX

National Provider Directory

National Provider Directory

Locations

20212 Champion Forest Dr
Ste 7
Spring, TX 77379

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1982253688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20212 CHAMPION FOREST DR STE 700-365",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798780",
            "telephone_number": "832-432-1951",
            "fax_number": "832-626-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR STE 405",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902616",
            "telephone_number": "832-432-1951",
            "fax_number": "832-626-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC HEART & VASCULAR CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "USMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-432-1951",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.