IBRAHIM KHANSA MD
NPI 1649567769
Surgery - Plastic and Reconstructive Surgery in Austin, TX

Active since July 10, 2011PECOS Enrolled
3305 NORTHLAND DR STE 210, AUSTIN, TX 78731(512) 615-6566(281) 962-8002 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2026, Dec 10, 2025, Mar 1, 2022 and 3 more (6 updates tracked since 2017).

About Ibrahim Khansa Md NPPES

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

IBRAHIM KHANSA MD (NPI 1649567769) is an individual plastic and reconstructive surgery provider in Austin, Texas, licensed in Texas (U6996) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649567769
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameIBRAHIM KHANSACredential: MD
Location Address3305 NORTHLAND DR STE 210Austin, TX 78731-4988
Mailing Address3305 Northland Dr Ste 210Austin, TX 78731-4988 · (512) 615-6566 · Fax (281) 962-8002
Fax(281) 962-8002
Sole ProprietorNo
Enumeration DateJuly 10, 2011
Last NPPES UpdateApril 3, 20266 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1649567769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TX · U6996
Definition
A surgeon who specializes in plastic and reconstructive surgery.
3305 NORTHLAND DR STE 210, Austin, TX 78731

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ibrahim Khansa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Ibrahim Khansa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Plastic Surgery
16012 JEFFS LN
Austin, TX 78717
  • Reassigned Medicare billing, Texas enrollment
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Psychiatric/Mental Health)
3305 NORTHLAND DR STE 210
AUSTIN, TX 78731
Nurse Practitioner (Psychiatric/Mental Health)
3305 NORTHLAND DR STE 210
AUSTIN, TX 78731

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 Ibrahim Khansa's NPI number?

The NPI number for Ibrahim Khansa is 1649567769. It was assigned to this individual provider in the NPPES registry on July 10, 2011.

Where is Ibrahim Khansa located?

Ibrahim Khansa practices at 3305 Northland Dr Ste 210, Austin, TX 78731. The listed phone number is (512) 615-6566.

What is Ibrahim Khansa's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Ibrahim Khansa enrolled in Medicare?

Yes. Ibrahim Khansa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ibrahim Khansa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ibrahim Khansa reassigns Medicare benefits to 3 organizations: Khansa Plastic Surgery PLLC (Austin, TX), Texas Children's Physician Group (Houston, TX) and Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). Each 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 Ibrahim Khansa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ibrahim Khansa accept?

Health plans from Antidote Health Plan of Ohio, Inc., Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CareSource and Harbor Health and 2 other insurers list Ibrahim Khansa 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 Ibrahim Khansa was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.