S D KHAN MD PA
NPI 1255606885
Internal Medicine - Gastroenterology in Houston, TX

Active since March 15, 2012
17070 RED OAK DR., SUITE 503, HOUSTON, TX 77090(281) 444-2399(281) 444-3417 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 19, 2023, Jun 16, 2023, May 3, 2023 (3 updates tracked since 2023).

About S D Khan Md Pa NPPES

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

S D KHAN MD PA (NPI 1255606885) is a healthcare organization registered as a gastroenterology in Houston, Texas and active in the NPI registry since March 2012. The organization lists Gretchen Daulton, Office Admin, as its authorized official.

NPPES Registry Identity

NPI1255606885
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameS D KHAN MD PA
Location Address17070 RED OAK DR., SUITE 503Houston, TX 77090-2715
Mailing Address17070 Red Oak Dr., Suite 503Houston, TX 77090-2715 · (281) 444-2399 · Fax (281) 444-3417
Fax(281) 444-3417
Organization SubpartNo
Authorized OfficialGretchen DaultonOffice Admin · (281) 444-2399
Enumeration DateMarch 15, 2012
Last NPPES UpdateJuly 19, 20233 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
✔ NPI 1255606885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
17070 RED OAK DR., Houston, TX 77090

Other Identifiers 1

Medicaid355232501TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

S D Khan Md Pa 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 S D Khan MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gastroenterology
NPI 1104826452
17070 RED OAK DR. SUITE 503
Houston, TX 77090
(281) 444-2399
✔ 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 S D Khan MD PA's NPI number?

The NPI number for S D Khan MD PA is 1255606885. It was assigned to this organization in the NPPES registry on March 15, 2012.

Where is S D Khan MD PA located?

S D Khan MD PA is located at 17070 Red Oak Dr. Suite 503, Houston, TX 77090. The listed phone number is (281) 444-2399.

What is S D Khan MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is S D Khan MD PA enrolled in Medicare?

Yes. S D Khan MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through S D Khan MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to S D Khan MD PA. 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.

When was this NPI record last updated?

The NPPES record for S D Khan MD PA was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.