DR. KASSIM A. KHAN M.D.
NPI 1235126731
Ophthalmology in Fort Worth, TX

Q: What is Kassim Khan's NPI number?

The NPI number for Kassim Khan is 1235126731. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Q: What is Kassim Khan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kassim Khan was last updated on October 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1001 12TH AVE, SUITE 132, FORT WORTH, TX 76104(817) 870-2010(817) 870-2050 Get Directions Write a Review

NPPES record last updated: October 20, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Kassim A. Khan M.d. NPPES

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

DR. KASSIM A. KHAN M.D. (NPI 1235126731) is an individual ophthalmology provider in Fort Worth, Texas, licensed in Texas (H7171) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1984).

NPPES Registry Identity

NPI1235126731

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. KASSIM A. KHANCredential: M.D.

Location Address1001 12TH AVE, SUITE 132Fort Worth, TX 76104-3926

Mailing Address1001 12th Ave, Suite 132Fort Worth, TX 76104-3926 · (817) 870-2010 · Fax (817) 870-2050

Phone(817) 870-2010

Fax(817) 870-2050

Sole ProprietorYes

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1984

Enumeration DateSeptember 30, 2005

Last NPPES UpdateOctober 20, 2009

✔ NPI 1235126731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in TX · H7171

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1001 12TH AVE, Fort Worth, TX 76104

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Other Identifiers 4

Medicare PINP00206473TX

Medicare PIN8C5879TX

Medicare UPINC57180TX

Medicare PIN8C9478TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kassim A. Khan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921067075

PECOS Enrollment IDI20041006000391

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

515 services437 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

214 services134 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

155 services150 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

140 services137 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

137 services126 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

74 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

98%65 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MARK A ARNESON PA

Physician Assistant

1001 12TH AVE, 200
FORT WORTH, TX 76104

Tarrant County (817) 850-2000

DR. JOHN LAURENCE EARL NUGENT MD

Internal Medicine (Medical Oncology)

1001 12TH AVE, SUITE 200
FORT WORTH, TX 76104

Tarrant County (817) 850-2000

HEALTH TEXAS PROVIDER NETWORK-FAMILY PRACTICE OF NORTH TEXAS LLP

Family Medicine

1001 12TH AVE, SUITE 130
FORT WORTH, TX 76104

Tarrant County (817) 921-6166

APPLIED PAIN ASSOCIATES, PLLC

Specialist

1001 12TH AVE, SUITE 172
FORT WORTH, TX 76104

Tarrant County (817) 328-1010

JOE D CROWLEY RPH

Pharmacist (Oncology)

1001 12TH AVE, SUITE 200
FORT WORTH, TX 76104

Tarrant County (817) 850-2090

SPOTLIGHT PRO MANAGEMENT

Physiological Laboratory

1001 12TH AVE, SUITE 170
FORT WORTH, TX 76104

Tarrant County (817) 905-6310

PARAMOUNT EVALUATION GROUP LLC

Pain Medicine (Pain Medicine)

1001 12TH AVE
FORT WORTH, TX 76104

Tarrant County (817) 328-1010

DR. JAMES H BORDELON M.D.

Internal Medicine (Hematology & Oncology)

1001 12TH AVE, SUITE 200
FORT WORTH, TX 76104

Tarrant County (817) 850-5000

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 Kassim Khan's NPI number?

The NPI number for Kassim Khan is 1235126731. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Kassim Khan located?

Kassim Khan practices at 1001 12th Ave Suite 132, Fort Worth, TX 76104. The listed phone number is (817) 870-2010.

What is Kassim Khan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kassim Khan enrolled in Medicare?

Yes. Kassim Khan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kassim Khan was last updated on October 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.