Individual provider Active NPI

Masi Khaja, MD

  • Gastroenterology Physician
  • Grand Junction, CO
National Provider Identifier
1982642526
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
Q0950 Issued in TX
Practice address
2460 Patterson Rd Unit 4
Grand Junction, CO 81505-1027
Phone
(970) 245-0990
Fax
(970) 644-6446
NPI assigned
Jun 4, 2006
Last updated
Apr 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X DR44639 CO
Gastroenterology Physician 207RG0100X Q0950 TX Primary

Addresses

Primary practice location

2460 Patterson Rd Unit 4
Grand Junction, CO 81505-1027

Mailing address

2460 Patterson Rd Unit 4
Grand Junction, CO 81505-1027
Phone (970) 245-0990

Other identifiers 1

IdentifierTypeStateIssuer
1982642526MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060622000321 CO Practitioner - Gastroenterology 6709898372 Reassigns benefits to 1 organization
I20151005002754 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 6709898372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capitol Gastro, PAGroup PAC ID 9234416884, 4 clinicians

Practice addresses (Care Compare)

12414 Alderbrook Dr
Suite 101
Austin, TX 78758-2482
Phone (512) 593-6022

12701 RR 620
Suite 101
Austin, TX 78750-1141

12701 RR 620 N
Suite 101
Austin, TX 78750-1141
Phone (512) 593-6022

2460 Patterson Rd
Unit 4
Grand Junction, CO 81505-1027
Phone (970) 245-0990

4207 James Casey St
Suite 111
Austin, TX 78745-3362
Phone (512) 593-6022

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy66
Upper gastrointestinal (GI) endoscopy for acid reflux58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR44639COMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Sep 1, 2016 Accepting new patients
Capitol Gastro, PA Gastroenterology CurrentSince Mar 9, 2017 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Sep 1, 2016 Accepting new patients
Gastroenterology Associates of Western Colorado,P C Gastroenterology CurrentSince Jul 9, 2007 Accepting new patients
Amel Med, LLC PastSince Jun 22, 2016 Accepting new patients

Locations

2460 Patterson Rd
Unit 4
Grand Junction, CO 81505
Phone (970) 245-0990

12414 Alderbrook Dr
Ste 101
Austin, TX 78758
Phone (512) 491-6542

12701 620 N
#101
Austin, TX 78750

12701 Ranch Road 620 N
Ste 101
Austin, TX 78750

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

1010 Ranch Road 620 S
Ste 107
Lakeway, TX 78734
Phone (512) 233-4607

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1982642526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 PATTERSON RD UNIT 4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051027",
            "telephone_number": "970-245-0990",
            "fax_number": "970-644-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 PATTERSON RD UNIT 4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051027",
            "telephone_number": "970-245-0990",
            "fax_number": "970-644-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAJA",
        "first_name": "MASI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR44639",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "Q0950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982642526",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.