MOHAMMAD SAMEER KHAN DO
NPI 1770267304
Student in an Organized Health Care Education/Training Program in Tyler, TX

Q: What is Mohammad Khan's NPI number?

The NPI number for Mohammad Khan is 1770267304. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Q: What is Mohammad Khan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mohammad Khan was last updated on July 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 14, 2023PECOS Enrolled

11937 US HIGHWAY 271, TYLER, TX 75708(903) 877-7200 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 28, 2023, Jun 14, 2023 (2 updates tracked since 2023).

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About Mohammad Sameer Khan Do NPPES

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

MOHAMMAD SAMEER KHAN DO (NPI 1770267304) is an individual student in an organized health care education/training program in Tyler, Texas, licensed in Texas (BP10085260) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770267304

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMOHAMMAD SAMEER KHANCredential: DO

Location Address11937 US HIGHWAY 271Tyler, TX 75708-3154

Mailing Address11937 Us Highway 271Tyler, TX 75708-3154 · (903) 877-7200

Phone(903) 877-7200

Sole ProprietorNo

Enumeration DateJune 14, 2023

Last NPPES UpdateJuly 28, 20232 updates tracked since enumeration

NPPES CertifiedJuly 28, 2023

✔ NPI 1770267304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in TX · BP10085260

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11937 US HIGHWAY 271, Tyler, TX 75708

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammad Sameer Khan Do 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.

Other Providers at the Same Location NPPES 19

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

DR. BILLY JOE SARTOR PHARM.D.

Pharmacist (Pharmacotherapy)

11937 US HIGHWAY 271, UNIVERSITY OF TEXAS HEALTH CENTER AT TYLER
TYLER, TX 75708

Smith County (903) 877-7096

KAREN C APPLEBERRY FNP

Nurse Practitioner (Family)