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MEDICAL CARE AT HOME PA DBA KHAN MEDICAL CLINIC
NPI 1154839652
Internal Medicine in Willow Park, TX

Active since January 18, 2018
5077 E INTERSTATE 20 SERVICE RD N, WILLOW PARK, TX 76087(817) 374-4949(817) 596-3700 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 22, 2022, Jan 18, 2018 (2 updates tracked since 2018).

About Medical Care At Home Pa Dba Khan Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL CARE AT HOME PA DBA KHAN MEDICAL CLINIC (NPI 1154839652) is a healthcare organization registered as an internal medicine in Willow Park, Texas and active in the NPI registry since January 2018. The organization lists Nusrat Ali Khan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1154839652
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEDICAL CARE AT HOME PA DBA KHAN MEDICAL CLINIC
Location Address5077 E INTERSTATE 20 SERVICE RD NWillow Park, TX 76087-3219
Mailing AddressPo Box 1313Weatherford, TX 76086-1313 · (817) 374-4949
Phone(817) 374-4949
Fax(817) 596-3700
Organization SubpartNo
Authorized OfficialNusrat Ali KhanMedical Director · (817) 597-5632
Enumeration DateJanuary 18, 2018
Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1154839652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5077 E INTERSTATE 20 SERVICE RD N, Willow Park, TX 76087
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Care At Home Pa Dba Khan Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Medical Care At Home PA Dba Khan Medical Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nusrat Khan, M.D.
Internal Medicine
NPI 1316053408
5077 E INTERSTATE 20 SERVICE RD N
Willow Park, TX 76087
(817) 374-4949
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Care At Home PA Dba Khan Medical Clinic's NPI number?

The NPI number for Medical Care At Home PA Dba Khan Medical Clinic is 1154839652. It was assigned to this organization in the NPPES registry on January 18, 2018.

Where is Medical Care At Home PA Dba Khan Medical Clinic located?

Medical Care At Home PA Dba Khan Medical Clinic is located at 5077 E Interstate 20 Service Rd N, Willow Park, TX 76087. The listed phone number is (817) 374-4949.

What is Medical Care At Home PA Dba Khan Medical Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Medical Care At Home PA Dba Khan Medical Clinic enrolled in Medicare?

Yes. Medical Care At Home PA Dba Khan Medical Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Care At Home PA Dba Khan Medical Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Medical Care At Home PA Dba Khan Medical Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Medical Care At Home PA Dba Khan Medical Clinic accept?

Health plans from Molina Healthcare list Medical Care At Home PA Dba Khan Medical Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medical Care At Home PA Dba Khan Medical Clinic was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.